Individual provider Active NPI

Doriece Choy, LCSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1235892977
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022706 Issued in IL
Practice address
2504 Bedford Dr
Champaign, IL 61820-7706
Phone
(574) 360-7517
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 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 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149022706ILMDClinical Social Worker
34006742AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.