Individual provider Active NPI

Katlyn Dines, LCSW

  • Clinical Social Worker
  • Danville, IL
National Provider Identifier
1154060648
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028152 Issued in IL
Practice address
101 E Liberty Lane
Suite B
Danville, IL 61832-1442
Phone
(217) 431-8825
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 149.028152 IL Primary
Social Worker 104100000X 150.105788 IL

Addresses

Primary practice location

101 E Liberty Lane
Suite B
Danville, IL 61832-1442

Mailing address

101 E Liberty LN Ste B
Danville, IL 61832-1442
Phone (217) 431-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.105788ILMDSocial Worker
149.028152ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling, Inc. CurrentSince Jun 5, 2022 Accepting new patients

Locations

101 E Liberty Ln
Ste B
Danville, IL 61832
Phone (217) 431-8825

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1154060648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LIBERTY LN STE B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321442",
            "telephone_number": "217-431-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LIBERTY LANE",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321442",
            "telephone_number": "217-431-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINES",
        "first_name": "KATLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028152",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.