Active NPI
Dori De la Cruz, LCSW
- Clinical Social Worker
- Dekalb, IL
National Provider Identifier
1275239337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.015910
- Practice address
- 432 Thresher St
Dekalb, IL 60115-1507 - Phone
- (815) 621-3497
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.015910 | IL | Primary |
Addresses
Primary practice location
432 Thresher St
Dekalb, IL 60115-1507
Mailing address
432 Thresher St
Dekalb, IL 60115-1507
Phone (815) 621-3497
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 |
|---|---|---|---|
| 149.015910 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walk and Talk With Dori | Clinical | Current | Accepting new patients |
| Fox Valley Institute for Growth and Wellness Inc | Past | Accepting new patients | |
| Revelations RX PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Dekalb, IL
- NPI 1851074306
-
- Counselor
- Naperville, IL
- NPI 1174637334
-
- Psychiatric/Mental Health Nurse Practitioner
- Naperville, IL
- NPI 1265124846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1275239337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 THRESHER ST",
"city": "DEKALB",
"state": "IL",
"postal_code": "601151507",
"telephone_number": "815-621-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 THRESHER ST",
"city": "DEKALB",
"state": "IL",
"postal_code": "601151507",
"telephone_number": "815-621-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "DORI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-01",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.015910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.