Active NPI
Dena Rivka Verderame, LCSW
- Clinical Social Worker
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016423
- Practice address
- 380 E Northwest Hwy
Des Plaines, IL 60016 - Phone
- (773) 656-1956
- NPI assigned
- Dec 22, 2010
- Last updated
- Jan 18, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | 149016423 | IL | Primary |
Addresses
Primary practice location
380 E Northwest Hwy
Des Plaines, IL 60016
Mailing address
7441 N California Ave
Chicago, IL 60645-1326
Phone (773) 656-1956
Other practice location 1
2637 W Lunt Ave
Apt 1
Chicago, IL 60645-3216
Phone (773) 656-1956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 Skokie Blvd
Northbrook, IL 60062-1611
Phone (847) 564-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016423 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Clinical | Current | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
720 Raymond Dr
Naperville, IL 60563
Phone (630) 355-0220
263 Skokie Blvd
Northbrook, IL 60062
Phone (847) 480-1412
3450 Oakton St
Ste 300
Skokie, IL 60076
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": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1255635835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7441 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451326",
"telephone_number": "773-656-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E NORTHWEST HWY",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "60016",
"telephone_number": "773-656-1956"
}
],
"practiceLocations": [
{
"address_1": "2637 W Lunt Ave",
"address_2": "Apt 1",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606453216",
"country_code": "US",
"telephone_number": "773-656-1956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERDERAME",
"first_name": "DENA",
"middle_name": "RIVKA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.