Individual provider Active NPI

Dana Restrepo

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1477922995
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
AZ-21371 Issued in AZ
Practice address
28 Courtney Ave
Newburgh, NY 12550-6006
Phone
(847) 489-2941
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.020105 IL
Clinical Social Worker 1041C0700X AZ-21371 AZ Primary
Clinical Social Worker 1041C0700X 5147 NH

Addresses

Primary practice location

28 Courtney Ave
Newburgh, NY 12550-6006

Mailing address

28 Courtney Ave
Newburgh, NY 12550-6006
Phone (847) 489-2941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180820000640 IL Practitioner - Clinical Social Worker 9335498781 Reassigns benefits to 1 organization
I20230615002285 AZ Practitioner - Clinical Social Worker 9335498781 Reassigns benefits to 2 organizations
I20250205001911 NH Practitioner - Clinical Social Worker 9335498781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ-21371AZMDClinical Social Worker
149.020105ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jun 1, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 6, 2024 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jun 1, 2023 Accepting new patients
Sheffer Psychological Services, PLLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

34 W Grand Ave
Ste 101
Fox Lake, IL 60020
Phone (847) 322-3975

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

Organizations & group practices 4

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1477922995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 COURTNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506006",
            "telephone_number": "847-489-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 COURTNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506006",
            "telephone_number": "847-489-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020105",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "AZ-21371",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "5147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.