Individual provider Active NPI

Dana Alaine Slowinski, LCSW

  • Clinical Social Worker
  • Lake Bluff, IL
National Provider Identifier
1366697716
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012846 Issued in IL
Practice address
900 North Shore Dr
Suite 120
Lake Bluff, IL 60044-2243
Phone
(847) 615-1698
Fax
(847) 615-1697
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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 149.012846 IL Primary

Addresses

Primary practice location

900 North Shore Dr
Suite 120
Lake Bluff, IL 60044-2243

Mailing address

900 North Shore Dr
Suite 120
Lake Bluff, IL 60044-2243
Phone (847) 615-1698

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
149.012846ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1366697716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR",
            "address_2": "SUITE 120",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442243",
            "telephone_number": "847-615-1698",
            "fax_number": "847-615-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR",
            "address_2": "SUITE 120",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442243",
            "telephone_number": "847-615-1698",
            "fax_number": "847-615-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOWINSKI",
        "first_name": "DANA",
        "middle_name": "ALAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.