Active NPI
Danielle Sarah Wright, LSW
- Social Worker
- Inverness, IL
National Provider Identifier
1023709334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150110783
- Practice address
- 1642 W Colonial Pkwy Unit 100
Inverness, IL 60067-4725 - Phone
- (847) 749-0514
- Fax
- (847) 221-8040
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150110783 | IL | Primary |
Addresses
Primary practice location
1642 W Colonial Pkwy Unit 100
Inverness, IL 60067-4725
Mailing address
1642 W Colonial Pkwy Unit 100
Inverness, IL 60067-4725
Phone (847) 749-0514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602004422 | IL | Practitioner - Clinical Social Worker | 7618448432 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1642 W Colonial Pkwy
Unit 100
Inverness, IL 60067-4725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150110783 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Care Consultants PC | Current | Accepting new patients |
Locations
1642 W Colonial Pkwy
Unit 100
Inverness, IL 60067
Phone (847) 749-0514
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1023709334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 W COLONIAL PKWY UNIT 100",
"city": "INVERNESS",
"state": "IL",
"postal_code": "600674725",
"telephone_number": "847-749-0514",
"fax_number": "847-221-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 W COLONIAL PKWY UNIT 100",
"city": "INVERNESS",
"state": "IL",
"postal_code": "600674725",
"telephone_number": "847-749-0514",
"fax_number": "847-221-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DANIELLE",
"middle_name": "SARAH",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150110783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.