CJ Dziuban, LCSW, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CJ DZIUBAN, LCSW, LLC

Practice address

421 N Water St
Wilmington, IL 60481-1188

Phone

(815) 529-6874

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chester Joseph Dziuban, LCSWNPI 1881967396

Title

Owner

Phone

(815) 529-6874

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chester Joseph Dziuban, LCSW

  • Clinical Social Worker
  • Wilmington, IL
  • NPI 1881967396
  NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1376215319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ROBERTS ST",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604811730",
            "telephone_number": "815-529-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N WATER ST",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604811188",
            "telephone_number": "815-529-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ DZIUBAN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "DZIUBAN",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-529-6874",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Burgess, LCSW
• Rebecca Calhoun
• Gary Anthony Carollo, D.D.S.
• Larissa Chaidez
• Sanjay Chatrath, DO
• Carrie Cullick, MSN, FNP
• Chester Joseph Dziuban, LCSW
• Elizabeth M Eaton, LCPC
• Embassy Care Center
• Embassy Holdings LLC (Embassy Health Care Center)

• Mental Health Counselor in Wilmington, IL
• Providers in Wilmington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.