Individual provider Active NPI

Hillary R Dvorak, LCSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1205479425
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111277 Issued in MI
Practice address
3475 Belle Chase Way
Lansing, MI 48911-4252
Phone
(517) 882-3732
NPI assigned
Oct 21, 2019
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 149.021652 IL
Clinical Social Worker 1041C0700X 6801111277 MI Primary

Addresses

Primary practice location

3475 Belle Chase Way
Lansing, MI 48911-4252

Mailing address

371 N Jefferson St
Zeeland, MI 49464-1019
Phone (619) 322-7630

Other practice location 1

205 W Randolph St Ste 501
Chicago, IL 60606-1870
Phone (773) 469-6675

Other practice location 2

1397 N Milwaukee Ave
Chicago, IL 60622-9151
Phone (773) 469-6675

Other practice location 3

2451 N Lincoln Ave Ste 206
Chicago, IL 60614-2422
Phone (773) 469-6675

Other names 1

  • Hillary R Brunt Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021652ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hillary Dvorak, LLC Clinical CurrentSince Mar 6, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1205479425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 N JEFFERSON ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641019",
            "telephone_number": "619-322-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 BELLE CHASE WAY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114252",
            "telephone_number": "517-882-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Randolph St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606061870",
            "country_code": "US",
            "telephone_number": "773-469-6675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1397 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606229151",
            "country_code": "US",
            "telephone_number": "773-469-6675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 N Lincoln Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606142422",
            "country_code": "US",
            "telephone_number": "773-469-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "HILLARY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2022-01-05",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021652",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "BRUNT",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.