Dandelion Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015168 Issued in IL

Legal business name

DANDELION WELLNESS, LLC

Practice address

307 N Michigan Ave Ste 412
Chicago, IL 60601-5318

Phone

(312) 909-5329

NPI assigned

Feb 15, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen E Fayden, LCSWNPI 1124394689

Title

Owner/Psychotherapist

Phone

(312) 909-5329

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Fayden, LCSW

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1124394689
  Authorized official Same address or phone

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1497255517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592311",
            "telephone_number": "312-909-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MICHIGAN AVE STE 412",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015318",
            "telephone_number": "312-909-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606572040",
            "country_code": "US",
            "telephone_number": "312-909-5329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANDELION WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FAYDEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-909-5329",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Reese Dancy
• Nathaniel Dancykier, D.D.S.
• Shoshana Dancykier, M.S. CCC-SLP
• Hardik Dand, DO
• Dandelion Therapeutic Art Center (Dandelion Art Studio)
• Matthew Ryan Dandino, PHARMD
• Cameron Dandridge, M.D.
• Galila Dandridge, OTR/L, OTD
• Marvin Dandridge, LCPC
• Navya Dandu, MD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Mar 17, 2018; 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.