Katrina Marie Dolle, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014192 Issued in IL

Practice address

2303 Sunnydale Dr
Woodridge, IL 60517-1844

Phone

(630) 395-9407

NPI assigned

Feb 9, 2014

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Moon Senior Counseling of Illinois LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1841562931
  Medicare reassignment NPD
• Family Counseling Service of Aurora

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1063591303
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, IL

  Medicare reassignment NPD
• Family Counseling Service of Aurora

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oswego, IL
  • NPI 1518442276
  NPD
• Optum Behavioral Care Therapy Services of Illinois PC

  dba KP Counseling of Illinois

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1235949553
  NPD
• Optum Behavioral Care Therapy Services of Illinois PC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1780579797
  NPD

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1497179667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SUNNYDALE DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171844",
            "telephone_number": "630-395-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 SUNNYDALE DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171844",
            "telephone_number": "630-395-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S River St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065185",
            "country_code": "US",
            "telephone_number": "630-844-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLLE",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-09",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "20895",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Sandra Dibenedetto
• Loretta Dingillo
• Direct Healthcare Solutions LLC
• Mariah Simone Dixon, RBT
• Aleksandra Djakovic, FNP-C
• Sara Ann Doss, M.D.
• Dover Health Palliative Care Il, LLC
• Dover Home Health Il Chicago Metro, LLC
• Dover Hospice Il Chicago Metro, LLC
• Rosalind Simon Downing, M.D.

• Clinical Social Worker in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.