Individual provider Active NPI

Diane Aniolowski, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1306191499
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015736 Issued in IL
Practice address
564 W Randolph St
Suite 251
Chicago, IL 60661-2218
Phone
(708) 606-9431
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150013081 IL
Clinical Social Worker 1041C0700X 149015736 IL Primary

Addresses

Primary practice location

564 W Randolph St
Suite 251
Chicago, IL 60661-2218

Mailing address

564 W Randolph St
Suite 251
Chicago, IL 60661-2218
Phone (708) 606-9431

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
150013081ILMDSocial Worker
149015736ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1306191499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 W RANDOLPH ST",
            "address_2": "SUITE 251",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612218",
            "telephone_number": "708-606-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W RANDOLPH ST",
            "address_2": "SUITE 251",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612218",
            "telephone_number": "708-606-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIOLOWSKI",
        "first_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150013081",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.