Dale W. Faber, LCSW, P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

149-008480 Issued in IL

Legal business name

DALE W. FABER, LCSW, P.C.

Practice address

1035 Grove St
Downers Grove, IL 60515-4636

Phone

(630) 926-4873

Fax

(630) 852-6335

NPI assigned

Jan 28, 2010

Last updated

Jul 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dale W Faber, LCSW, PH.D. M.DIV.NPI 1881718948

Title

Owner

Phone

(630) 926-4873

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale W Faber, PHD.

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1881718948
  Authorized official Same address or phone

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1003147232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 GROVE ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154636",
            "telephone_number": "630-926-4873",
            "fax_number": "630-852-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 GROVE ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154636",
            "telephone_number": "630-926-4873",
            "fax_number": "630-852-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE W. FABER, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-926-4873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PH.D. M.DIV."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149-008480",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "149-008480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D J Provenzale & D J Provenzale Jr
• Fortunata Gelvolea Dabu, NP
• Mary Sue Dailey, APRN
• Arvydas J Dailide, DDS
• Neil K Dalal, DO
• Sheila Brady Dalton
• Laurel Daly, BCBA
• Susan Dames, LCSW
• James Dan, MD
• Erika Marie Danelski, DO

• Adult Mental Health Clinic/Center in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.