Individual provider Active NPI

Anna Van Dyke, LSW

  • Social Worker
  • Elmhurst, IL
National Provider Identifier
1174473920
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.119024 Issued in IL
Practice address
579 W North Ave Ste 206
Elmhurst, IL 60126-2144
Phone
(630) 384-9499
NPI assigned
Jan 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.119024 IL Primary

Addresses

Primary practice location

579 W North Ave Ste 206
Elmhurst, IL 60126-2144

Mailing address

529 N Humphrey Ave
Oak Park, IL 60302-2405

Other practice location 1

1035 Havens Ct
Downers Grove, IL 60515-2000
Phone (630) 296-4427

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
150.119024ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Patchwork Therapy, PLLC PastSince Dec 28, 2025 Accepting new patients

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": "1769817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1174473920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W NORTH AVE STE 206",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262144",
            "telephone_number": "630-384-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Havens Ct",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605152000",
            "country_code": "US",
            "telephone_number": "630-296-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "ANNA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.119024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.