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

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.

Title

Owner

Phone

(630) 926-4873

Specialties & licenses 2

Addresses

Other identifiers 1

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2223316",
            "state": "IL"
        }
    ],
    "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.