Lori Ann Deyoung, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-008809 Issued in IL

Practice address

101 W North St FL 3
Danville, IL 61832-5730

Phone

(217) 497-7484

NPI assigned

Sep 14, 2006

Last updated

Feb 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1235234907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W NORTH ST FL 3",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325730",
            "telephone_number": "217-497-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W NORTH ST FL 3",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325730",
            "telephone_number": "217-497-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09232024",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Rhein Debord, MSW/LCSW
• Connie J Denmark, BS
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• Dental Professionals of Illinois, P.C. (North Vermillion Family Dental)
• Lana M Denton, PMHNP-BC
• Sara Michelle Dickerson, PTA
• Katherine Dielman, LSW
• Rachael Dietkus
• Digital Hearing AIDS, Inc (Audibel Hearing Aids)
• Dillman Eye Care Associates SC

• Clinical Social Worker in Danville, IL
• Providers in Danville, 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 Feb 26, 2013; 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.

Verify at the official NPI Registry.