Individual provider Active NPI

Wendie T. Dalberg, LCSW

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1043232937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1893 Sheridan Rd Ste 303
Highland Park, IL 60035-2646
Phone
(847) 433-3803
Fax
(847) 831-3798
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

1893 Sheridan Rd Ste 303
Highland Park, IL 60035-2646

Mailing address

1893 Sheridan Rd Ste 303
Highland Park, IL 60035-2646
Phone (847) 433-3803

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000399 IL Practitioner - Clinical Social Worker 0345336269 Practice locations: Higland Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1893 Sheridan Rd
Suite 303
Highland Park, IL 60035-2646
Phone (847) 433-3803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-000988ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wendie T Dalberg LCSW and Associates Clinical PastSince Nov 10, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043232937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD STE 303",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352646",
            "telephone_number": "847-433-3803",
            "fax_number": "847-831-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD STE 303",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352646",
            "telephone_number": "847-433-3803",
            "fax_number": "847-831-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALBERG",
        "first_name": "WENDIE",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.