Individual provider Active NPI

Christine Nellie Tredup, MSW, ACSW, LCSW, BCD

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1972589661
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
409 Illinois Ave
Suite 1a
St Charles, IL 60174-2966
Phone
(630) 377-9939
Fax
(630) 377-9839
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

409 Illinois Ave
Suite 1a
St Charles, IL 60174-2966

Mailing address

PO Box 264
St Charles, IL 60174-0264
Phone (630) 377-9939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972589661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601740264",
            "telephone_number": "630-377-9939",
            "fax_number": "630-377-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ILLINOIS AVE",
            "address_2": "SUITE 1A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742966",
            "telephone_number": "630-377-9939",
            "fax_number": "630-377-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDUP",
        "first_name": "CHRISTINE",
        "middle_name": "NELLIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, ACSW, LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.