Individual provider Active NPI

Danielle Alex Fixler, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1477041119
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020939 Issued in IL
Practice address
820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone
(312) 809-0298
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 IL
Clinical Social Worker 1041C0700X 149.020939 IL Primary

Addresses

Primary practice location

820 N Orleans St Ste 350
Chicago, IL 60610-3145

Mailing address

310 W Chicago Ave
Chicago, IL 60654-5106

Other practice location 1

310 W Chicago Ave
Chicago, IL 60654-5106
Phone (312) 943-6545 ext. 223

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
149.020939ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Center for Emotional Health PLLC Clinical PastSince Feb 13, 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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1477041119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606545106",
            "country_code": "US",
            "telephone_number": "312-943-6545 x223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIXLER",
        "first_name": "DANIELLE",
        "middle_name": "ALEX",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020939",
            "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 Feb 4, 2019; 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.