Active NPI
Robert Harold Dargel, MSW, LCSW, CEAP
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1154561306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.011190
- Practice address
- 2547 W Gunnison St
Floor 2
Chicago, IL 60625-2813 - Phone
- (773) 841-6450
- Fax
- (773) 728-1990
- NPI assigned
- Mar 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.011190 | IL | Primary |
Addresses
Primary practice location
2547 W Gunnison St
Floor 2
Chicago, IL 60625-2813
Mailing address
2547 W Gunnison St
Floor 2
Chicago, IL 60625-2813
Phone (773) 841-6450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 27, 2024 through Mar 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.011190 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235865600000",
"number": "1154561306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 W GUNNISON ST",
"address_2": "FLOOR 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252813",
"telephone_number": "773-841-6450",
"fax_number": "773-728-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2547 W GUNNISON ST",
"address_2": "FLOOR 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252813",
"telephone_number": "773-841-6450",
"fax_number": "773-728-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARGEL",
"first_name": "ROBERT",
"middle_name": "HAROLD",
"credential": "MSW, LCSW, CEAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-01",
"last_updated": "2009-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.011190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.