Active NPI
Mary Adams
- Clinical Social Worker
- Savoy, IL
National Provider Identifier
1952062895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1806 Woodfield Dr Ste 108
Savoy, IL 61874-9505 - Phone
- (309) 232-8894
- NPI assigned
- Jan 3, 2022
- Last updated
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1806 Woodfield Dr Ste 108
Savoy, IL 61874-9505
Mailing address
2506 Galen Dr Ste 108
Champaign, IL 61821-7047
Phone (217) 531-2736
Other practice location 1
2506 Galen Dr Ste 108
Champaign, IL 61821-7047
Phone (217) 531-2736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Song Therapy and Consulting PLLC | Clinical | Current | Accepting new patients |
Locations
1806 Woodfield Dr
Ste 108
Savoy, IL 61874
Phone (309) 232-8894
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Savoy, IL
- NPI 1225805740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1952062895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 GALEN DR STE 108",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618217047",
"telephone_number": "217-531-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 WOODFIELD DR STE 108",
"city": "SAVOY",
"state": "IL",
"postal_code": "618749505",
"telephone_number": "309-232-8894"
}
],
"practiceLocations": [
{
"address_1": "2506 Galen Dr Ste 108",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618217047",
"country_code": "US",
"telephone_number": "217-531-2736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savoy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.