Active NPI
Dhrubodhi Mukherjee, PH.D., LCSW
- Clinical Social Worker
- Denton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019534
- Practice address
- 2416 Nottingham Dr
Denton, TX 76209-2202 - Phone
- (618) 303-1380
- NPI assigned
- Oct 4, 2021
- Last updated
- Mar 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106012 | TX | |
| Clinical Social Worker | 1041C0700X | 149.019534 | IL | Primary |
Addresses
Primary practice location
2416 Nottingham Dr
Denton, TX 76209-2202
Mailing address
2416 Nottingham Dr
Denton, TX 76209-2202
Phone (618) 303-1380
Other practice location 1
1200 Locust St
Eldorado, IL 62930-1723
Phone (618) 252-9036
Other practice location 2
3218 Branch St
Du Quoin, IL 62832-3401
Phone (618) 303-1380
Other names 1
- Dr. Dhru Mukherjee
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
217 E Main St
Du Quoin, IL 62832-1424
Phone (940) 202-9110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019534 | IL | MD | Clinical Social Worker |
| 106012 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stress & Trauma Treatment Center, Inc. | Current | Accepting new patients | |
| Stress & Trauma Treatment Center | Past | Accepting new patients | |
| North Texas Solutions for Recovery, Inc | Past | Accepting new patients |
Locations
1200 Locust St
Eldorado, IL 62930
Phone (618) 252-9036
Organizations & group practices 4
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Eldorado, IL
- NPI 1851966014
-
dba Solutions of North Texas
- Community/Behavioral Health Agency
- Denton, TX
- NPI 1912374216
-
- Clinical Child & Adolescent Psychologist
- Eldorado, IL
- NPI 1700342532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1093487365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 NOTTINGHAM DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762092202",
"telephone_number": "618-303-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 NOTTINGHAM DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762092202",
"telephone_number": "618-303-1380"
}
],
"practiceLocations": [
{
"address_1": "1200 Locust St",
"address_purpose": "LOCATION",
"city": "Eldorado",
"state": "IL",
"postal_code": "629301723",
"country_code": "US",
"telephone_number": "618-252-9036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3218 Branch St",
"address_purpose": "LOCATION",
"city": "Du Quoin",
"state": "IL",
"postal_code": "628323401",
"country_code": "US",
"telephone_number": "618-303-1380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKHERJEE",
"first_name": "DHRUBODHI",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "106012",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DHRU",
"last_name": "MUKHERJEE",
"prefix": "DR.",
"credential": "PH.D., LCSW-S",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.