Active NPI
Mackenzie Bette Difiore
- Social Worker
- Wilmette, IL
National Provider Identifier
1366264699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.114601
- Practice address
- 444 Skokie Blvd
Wilmette, IL 60091-3086 - Phone
- (847) 834-9844
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114601 | IL | Primary |
Addresses
Primary practice location
444 Skokie Blvd
Wilmette, IL 60091-3086
Mailing address
444 Skokie Blvd
Wilmette, IL 60091-3086
Phone (847) 834-9844
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 |
|---|---|---|---|
| 150.114601 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1366264699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 SKOKIE BLVD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600913086",
"telephone_number": "847-834-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 SKOKIE BLVD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600913086",
"telephone_number": "847-834-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFIORE",
"first_name": "MACKENZIE",
"middle_name": "BETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.114601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.