DW Enterprises

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006506 Issued in IL

Legal business name

DW ENTERPRISES

Doing business as

Hickory Creek Counseling

Practice address

335 Alana Dr
New Lenox, IL 60451-1766

Phone

(815) 462-3827

Fax

(815) 462-3837

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dora M Wolfe, PSYD

Title

Clinical Director

Phone

(815) 462-3827

Specialties & licenses 1

Addresses

Other names 1

• Hickory Creek Counseling Doing business as

Tax ID family

DW Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DW Enterprises LLC

  dba Hickory Creek Counseling

  • Clinical Child & Adolescent Psychologist
  • New Lenox, IL
  • NPI 1235470568
  NPD tax ID

Locations

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1467893305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511766",
            "telephone_number": "815-462-3827",
            "fax_number": "815-462-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511766",
            "telephone_number": "815-462-3827",
            "fax_number": "815-462-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "815-462-3827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Creek Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Robert E. Puls, P.C.
• Samantha Joy Dubina
• Bassel Dulli, D.D.S.
• Dupage Medical Group, LTD. (DuPage Medical Group)
• Trisha Durham, RN, FNP-C
• DW Enterprises LLC (Hickory Creek Counseling)
• Carey Dwyer, LSW
• Samantha Dybas
• Wendy Ann Dyer, APN
• Carol Ann Dykema, OTA

• Clinical Psychologist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.