Denis T Morimoto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1117 S Milwaukee Ave
Forum Square BLDG B Ste 2
Libertyville, IL 60048-3798

Phone

(847) 367-6900

Fax

(847) 816-6447

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael L Klestinki Acsw & Associates P.C.

  • Clinical Social Worker
  • Libertyville, IL
  • NPI 1093824161
  NPD (past)
• Michael L Klestinski & Associates, P.C.

  • Social Worker
  • Libertyville, IL
  • NPI 1477638948
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205940905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 WIRTH TRL",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121431",
            "telephone_number": "847-367-6900",
            "fax_number": "847-816-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE",
            "address_2": "FORUM SQUARE BLDG B STE 2",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483798",
            "telephone_number": "847-367-6900",
            "fax_number": "847-816-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIMOTO",
        "first_name": "DENIS",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nicole Montgomery, BA
• Ann Moos
• Lynn Ryde Moosman, L.C.P.C.
• Debra Morettini
• Amanda Morgan, M.A.
• Adriana Morrill
• Eileen T Morrison, MD
• Frances C Morrison, PSY.D.
• Chriszella Morson
• Stefanie Taylor Moss, L.C.P.C.

• Clinical Social Worker in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.