Individual provider Active NPI

Dana Perlson, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1437797875
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023723 Issued in IL
Practice address
2314 N Kimball Ave # 1
Chicago, IL 60647-2420
Phone
(309) 230-6529
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105103860 IL
Clinical Social Worker 1041C0700X 149023723 IL Primary

Addresses

Primary practice location

2314 N Kimball Ave # 1
Chicago, IL 60647-2420

Mailing address

2314 N Kimball Ave # 1
Chicago, IL 60647-2420
Phone (309) 230-6529

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
105103860ILMDSocial Worker
149023723ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DWP Counseling and Wellness LLC CurrentSince Jan 17, 2022 Accepting new patients

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1437797875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 N KIMBALL AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472420",
            "telephone_number": "309-230-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N KIMBALL AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472420",
            "telephone_number": "309-230-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLSON",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "105103860",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.