Elana R Dor, LSW, LCSW, TYPE 73

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.009455 Issued in IL

Practice address

540 W Frontage Rd
Suite 2135
Northfield, IL 60093-1250

Phone

(847) 204-2043

Fax

(847) 236-0360

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elana Rubinstein Former name

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1083031405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD",
            "address_2": "SUITE 2135",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931250",
            "telephone_number": "847-204-2043",
            "fax_number": "847-236-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD",
            "address_2": "SUITE 2135",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931250",
            "telephone_number": "847-204-2043",
            "fax_number": "847-236-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOR",
        "first_name": "ELANA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LSW, LCSW, TYPE 73",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELANA",
            "last_name": "RUBINSTEIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine T Divalerio, M.A., CCC-SLP
• Doherty Nutrition
• Daniel Domoleczny, L.AC.
• Monica F Donnelly, LPC
• Faydra Shantel Dopek
• Jennifer Doran, MA, NCC
• Dr Patricia Raczka & Associates, LTD
• Dr. K. Berk, Wholistic Health Care
• Jessica Ellen Dubnow, PSYD
• Lea Dugan, MSW, LSW

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.