Active NPI
Dean Brown, JD, LCSW
- Clinical Social Worker
- Champaign, IL
National Provider Identifier
1184021792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149007637
- Practice address
- 3358 Big Pine TRL
Suite B
Champaign, IL 61822-1406 - Phone
- (217) 383-0151
- NPI assigned
- Nov 25, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 149007637 | IL | Primary |
Addresses
Primary practice location
3358 Big Pine TRL
Suite B
Champaign, IL 61822-1406
Mailing address
3358 Big Pine TRL
Suite B
Champaign, IL 61822-1406
Phone (217) 383-0151
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149007637 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulski Counseling, LLC | Clinical | Current | Accepting new patients |
Locations
3362 Big Pine Trl
Ste A
Champaign, IL 61822
Phone (217) 383-0151
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": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1184021792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3358 BIG PINE TRL",
"address_2": "SUITE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221406",
"telephone_number": "217-383-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3358 BIG PINE TRL",
"address_2": "SUITE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221406",
"telephone_number": "217-383-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEAN",
"credential": "JD, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149007637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.