Active NPI
Doriece Choy, LCSW
- Clinical Social Worker
- Champaign, IL
National Provider Identifier
1235892977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149022706
- Practice address
- 2504 Bedford Dr
Champaign, IL 61820-7706 - Phone
- (574) 360-7517
- NPI assigned
- Oct 19, 2021
- Last updated
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149022706 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 34006742A | IN |
Addresses
Primary practice location
2504 Bedford Dr
Champaign, IL 61820-7706
Mailing address
2504 Bedford Dr
Champaign, IL 61820-7706
Phone (574) 360-7517
Other names 1
- Mrs. Doriece Choy
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149022706 | IL | MD | Clinical Social Worker |
| 34006742A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Path Therapy LLC | Clinical | Past | 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": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1235892977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 BEDFORD DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207706",
"telephone_number": "574-360-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 BEDFORD DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207706",
"telephone_number": "574-360-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOY",
"first_name": "DORIECE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149022706",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006742A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORIECE",
"last_name": "CHOY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.