Individual provider Active NPI

Angelika Danek, LCSW, CRADC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1164799359
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014886 Issued in IL
Practice address
6650 N Northwest Hwy
Chicago, IL 60631-1307
Phone
(773) 392-9103
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22119 IL
Clinical Social Worker 1041C0700X 149.014886 IL Primary

Addresses

Primary practice location

6650 N Northwest Hwy
Chicago, IL 60631-1307

Mailing address

326 Elk Blvd
Des Plaines, IL 60016-3506
Phone (773) 392-9103

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
I20131014000186 IL Practitioner - Clinical Social Worker 7416181128 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Association for Multicultural Behavioral Health, LLCGroup PAC ID 4284865395, 2 clinicians

Practice addresses (Care Compare)

6650 N Northwest Hwy
Suite 215
Chicago, IL 60631-1363
Phone (773) 313-3757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22119ILMDAddiction (Substance Use Disorder) Counselor
149.014886ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angelicare LLC Clinical CurrentSince Oct 25, 2020 Accepting new patients
Association for Multicultural Behavioral Health, LLC Addiction (Substance Use Disorder) CurrentSince Mar 18, 2014 Accepting new patients

Locations

6650 N Northwest Hwy
Ste 215
Chicago, IL 60631
Phone (630) 216-9098

6650 N Northwest Hwy
Chicago, IL 60631
Phone (773) 313-3757

Organizations & group practices 2

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1164799359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ELK BLVD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163506",
            "telephone_number": "773-392-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311307",
            "telephone_number": "773-392-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANEK",
        "first_name": "ANGELIKA",
        "name_prefix": "Ms.",
        "credential": "LCSW, CRADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "22119",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.