Dana Marie Nunamaker, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Momence, IL

NPI 1508539404 · NPPES record last updated Jul 27, 2021

Key facts

NPI
1508539404
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149018129 (IL)
Practice address
409 N Elm St
Momence, IL 60954-1141
Phone
(815) 954-3391
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149018129ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018129 IL Yes

Addresses

Primary practice location

409 N Elm St
Momence, IL 60954-1141

Mailing address

409 N Elm St
Momence, IL 60954-1141
Phone (815) 954-3391

Other providers in Momence, IL

All providers in Momence, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.