NPIMap

Organization Active NPI

Dr. Draga Ilievski PH.D. LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1437637717
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004858A Issued in IN
Legal business name
DR. DRAGA ILIEVSKI PH.D. LCSW
Doing business as
Dr. Draga Ilievski Ph.D. LCSW
Practice address
5 Washington St Ste 250
Valparaiso, IN 46383-4769
Phone
(219) 464-8811
Fax
(219) 464-8819
NPI assigned
Jul 30, 2018
Last updated
Jul 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Draga Ilievski, PH.D. LCSWNPI 1801054515
Title
Licensed Clinical Social Worker
Phone
(219) 464-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34004858A IN Primary

Addresses

Primary practice location

5 Washington St Ste 250
Valparaiso, IN 46383-4769

Mailing address

5 Washington St Ste 250
Valparaiso, IN 46383-4769
Phone (219) 464-8811

Other names 1

  • Dr. Draga Ilievski Ph.D. LCSW Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1437637717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST STE 250",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834769",
            "telephone_number": "219-464-8811",
            "fax_number": "219-464-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST STE 250",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834769",
            "telephone_number": "219-464-8811",
            "fax_number": "219-464-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DRAGA ILIEVSKI PH.D. LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "ILIEVSKI",
        "authorized_official_first_name": "DRAGA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "219-464-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004858A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Draga Ilievski Ph.D. LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.