Individual provider Active NPI

Deborah M Aimone, LCSW

  • Clinical Social Worker
  • Montgomery, IL
National Provider Identifier
1306595210
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007887 Issued in IL
Practice address
1813 Waverly Way
Montgomery, IL 60538-4133
Phone
(630) 618-6943
NPI assigned
Mar 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149007887 IL Primary

Addresses

Primary practice location

1813 Waverly Way
Montgomery, IL 60538-4133

Mailing address

1813 Waverly Way
Montgomery, IL 60538-4133
Phone (630) 618-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, CT3 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
I20241108002290 IL Practitioner - Clinical Social Worker 1759815053 Reassigns benefits to 1 organization
I20241209003831 NC Practitioner - Clinical Social Worker 1759815053 Reassigns benefits to 1 organization
I20250728001985 CT Practitioner - Clinical Social Worker 1759815053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149007887ILMDClinical Social Worker
15417CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Oct 8, 2024 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1306595210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 WAVERLY WAY",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605384133",
            "telephone_number": "630-618-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 WAVERLY WAY",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605384133",
            "telephone_number": "630-618-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIMONE",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, IL

Sources for this page

Verify at the official NPI Registry.