Individual provider Active NPI

Dhrubodhi Mukherjee, PH.D., LCSW

  • Clinical Social Worker
  • Denton, TX
National Provider Identifier
1093487365
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019534 Issued in IL
Practice address
2416 Nottingham Dr
Denton, TX 76209-2202
Phone
(618) 303-1380
NPI assigned
Oct 4, 2021
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
I20241004002633 IL Practitioner - Clinical Social Worker 1850822537 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
149.019534ILMDClinical Social Worker
106012TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stress & Trauma Treatment Center, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Stress & Trauma Treatment Center PastSince Oct 1, 2021 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.

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

Verify at the official NPI Registry.