PHOENIX WELLNESS, LLC
NPI 1538608690
Social Worker - Clinical in Peoria, IL

Active since February 21, 2017
2020 W WAR MEMORIAL DR, STE 304, PEORIA, IL 61614(309) 989-7282 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX WELLNESS, LLC (NPI 1538608690) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since February 2017. The organization lists Erin E Surratt, Owner, as its authorized official.

NPPES Registry Identity

NPI1538608690
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX WELLNESS, LLC
Location Address2020 W WAR MEMORIAL DR, STE 304Peoria, IL 61614-6754
Mailing Address105 Lexington CtEast Peoria, IL 61611-5547
Organization SubpartNo
Authorized OfficialErin E SurrattOwner · (309) 989-7282
Enumeration DateFebruary 21, 2017
NPI 1538608690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149016007
Definition
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.
2020 W WAR MEMORIAL DR, Peoria, IL 61614

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Wellness, LLC's NPI number?

The NPI number for Phoenix Wellness, LLC is 1538608690. It was assigned to this organization in the NPPES registry on February 21, 2017.

Where is Phoenix Wellness, LLC located?

Phoenix Wellness, LLC is located at 2020 W War Memorial Dr Ste 304, Peoria, IL 61614. The listed phone number is (309) 989-7282.

What is Phoenix Wellness, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Phoenix Wellness, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Phoenix Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Wellness, LLC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.