MR. ROBERT J MCNICHOLL (NPI# 1093948440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093948440 |
| Entity Type | Individual |
| Full Name | MR. ROBERT J MCNICHOLL |
| Credential | MSW, LCSW |
| Practice Address |
809 W Church St Champaign IL 61820-3320 |
| Practice Telephone | 2173731700 |
| Practice Fax Number | 2173731884 |
| Mailing Telephone | 2173731700 |
| Mailing Fax Number | 2173731884 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.013155 | IL | Behavioral Health & Social Service Providers |
| Street Address |
809 W CHURCH ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930619 | Pavilion Foundation | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2006-02-09 |
| 1780055608 | Pavilion Foundation Pharmacy | Psychiatric Hospital | 809 W Church St, Champaign, IL 61820-3320 | 2015-10-19 |
| 1538490172 | Staci Lee Mcnicholl | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2010-01-21 |
| 1407096043 | The Pavilion Foundation | Psychiatric Residential Treatment Facility | 809 W Church St, Champaign, IL 61820-3320 | 2009-02-23 |
| 1326258864 | L. Jane Wilson | Marriage & Family Therapist | 809 W Church St, Champaign, IL 61820-3320 | 2007-05-23 |
| 1255541496 | Sandra Dixon | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-05-23 |
| 1487873915 | Peter Erickson | Social Worker | 809 W Church St, Champaign, IL 61820-3320 | 2007-04-24 |
| 1316093453 | Janet Wipfli | Clinical Nurse Specialist | 809 W Church St, Champaign, IL 61820-3320 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759620 | Telos Health and Wellness Services, LLC | Social Worker | 907 W Marketview Dr Ste 10, Champaign, IL 61822-1250 | 2020-08-03 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1932730835 | Katina Wilcher | Social Worker | 609 Crestwood Dr, Champaign, IL 61822-7369 | 2020-01-29 |
| 1417596685 | Heather Johnson | Social Worker | 1815 Crescent Dr, Champaign, IL 61821-5829 | 2020-01-05 |
| 1518425230 | Kc Counseling, LLC | Social Worker | 206 N Randolph St Ste 508, Champaign, IL 61820-3949 | 2019-03-12 |
| 1134692536 | Felicia Huiyan Li | Social Worker | 3115 Village Office Pl, Champaign, IL 61822-7673 | 2019-01-08 |
| 1528575958 | David H. Crowley and Associates Ltd | Social Worker | 100 N Chestnut St Ste 231, Champaign, IL 61820-4856 | 2018-01-08 |
| 1356850457 | Jessica L Wiley | Social Worker | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2017-09-21 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1770938359 | Champaign Counseling LLC | Social Worker | 313 N Mattis Ave Ste 209, C/o Erik Olson, Champaign, IL 61821-2461 | 2016-05-02 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.