Individual provider Active NPI

Dawn G. Zappitelli, L.C.S.W.

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1093948507
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013399 Issued in IL
Practice address
2320 Dean St Ste 102
St Charles, IL 60175-1068
Phone
(630) 443-9100
Fax
(630) 443-9101
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 149.013399 IL Primary

Addresses

Primary practice location

2320 Dean St Ste 102
St Charles, IL 60175-1068

Mailing address

2320 Dean St Ste 102
St Charles, IL 60175-1068
Phone (630) 443-9100

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
I20091222000421 IL Practitioner - Clinical Social Worker 2466592589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Counseling Center, IncGroup PAC ID 8426221151, 2 clinicians

Practice addresses (Care Compare)

40 W131 Campton Crossings Dr a
St Charles, IL 60175-6570
Phone 6304439100204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.013399ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Counseling Center, Inc Clinical CurrentSince Aug 27, 2011 Accepting new patients
Foroutan & Associates SC Past Accepting new patients
Center for Rural Psychology Past Accepting new patients

Locations

40W131 Campton Crossings Dr
Ste A
St Charles, IL 60175
Phone (630) 443-9100

2320 Dean St
Ste 102
St Charles, IL 60175
Phone (630) 443-9100

40W131 Campton Crossings Dr
#A
St Charles, IL 60175
Phone 6304439100204

Organizations & group practices 3

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1093948507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST STE 102",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-443-9100",
            "fax_number": "630-443-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST STE 102",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-443-9100",
            "fax_number": "630-443-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPPITELLI",
        "first_name": "DAWN",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.