Individual provider Active NPI

Laurie Dobrinich, LCSW

  • Clinical Social Worker
  • Pana, IL
National Provider Identifier
1306292123
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009242 Issued in IL
Practice address
101 E 9TH St
Pana, IL 62557-1716
Phone
(217) 562-6246
Fax
(217) 562-6228
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009242 IL Primary

Addresses

Primary practice location

101 E 9TH St
Pana, IL 62557-1716

Mailing address

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160517001260 IL Practitioner - Clinical Social Worker 2163711086 Reassigns benefits to 1 organization
I20220921000388 IA Practitioner - Clinical Social Worker 2163711086 Reassigns benefits to 1 organization
I20251202000887 OR Practitioner - Clinical Social Worker 2163711086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Saint Louis University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

2032 Huron St
Klamath Falls, OR 97601-2242
Phone (515) 332-4200

513 E Pennsylvania St
Laurie Dobrinich CSW
Staunton, IL 62088-1202
Phone (515) 332-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt County Memorial Hospital CurrentSince Oct 3, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Evizzit of Iowa Psychiatry PC CurrentSince Aug 1, 2022 Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Evizzit of Iowa Psychiatry PC PastSince Dec 26, 2021 Accepting new patients

Locations

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

1501 42nd St
Ste 120
West Des Moines, IA 50266

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

Interoperability endpoints

  • Direct secure messaging: ldobrinich907088@direct.unitypoint.org

Organizations & group practices 5

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1306292123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-6246",
            "fax_number": "217-562-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-6246",
            "fax_number": "217-562-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRINICH",
        "first_name": "LAURIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pana, IL

Sources for this page

Verify at the official NPI Registry.