Individual provider Active NPI

Erin Dugas

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1407444102
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022881 Issued in IL
Practice address
4636 N Ravenswood Ave Ste 201
Chicago, IL 60640-4581
Phone
(773) 217-0452
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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 149022881 IL Primary

Addresses

Primary practice location

4636 N Ravenswood Ave Ste 201
Chicago, IL 60640-4581

Mailing address

703 W Melrose St Unit 2
Chicago, IL 60657-7233
Phone (225) 715-5747

Other practice location 1

703 W Melrose St Unit 2
Chicago, IL 60657-7233
Phone (225) 715-5747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220627002225 IL Practitioner - Clinical Social Worker 1052790730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4636 N Ravenswood Ave
Suite 201
Chicago, IL 60640-4581
Phone (773) 217-0452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erin B Dugas LCSW PLLC Clinical CurrentSince Nov 16, 2024 Accepting new patients

Locations

4636 N Ravenswood Ave
Ste 201
Chicago, IL 60640
Phone (312) 925-9423

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1407444102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W MELROSE ST UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577233",
            "telephone_number": "225-715-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 N RAVENSWOOD AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404581",
            "telephone_number": "773-217-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 W Melrose St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606577233",
            "country_code": "US",
            "telephone_number": "225-715-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.