Individual provider Active NPI

Deborah R Baldauff, MSW, LSW

  • Social Worker
  • Kankakee, IL
National Provider Identifier
1528320256
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150010408 Issued in IL
Practice address
270 N Schuyler Ave
C/O Catholic Charities, Diocese of Joliet
Kankakee, IL 60901-3833
Phone
(815) 933-7791
Fax
(815) 933-4601
NPI assigned
Jun 8, 2012
Last updated
Jun 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150010408 IL Primary

Addresses

Primary practice location

270 N Schuyler Ave
C/O Catholic Charities, Diocese of Joliet
Kankakee, IL 60901-3833

Mailing address

270 N Schuyler Ave
C/O Catholic Charities, Diocese of Joliet
Kankakee, IL 60901-3833
Phone (815) 933-7791

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
150010408ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Diocese of Joliet Past Accepting new patients
Catholic Charities of the Diocese of Joliet Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1528320256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N SCHUYLER AVE",
            "address_2": "C/O CATHOLIC CHARITIES, DIOCESE OF JOLIET",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013833",
            "telephone_number": "815-933-7791",
            "fax_number": "815-933-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N SCHUYLER AVE",
            "address_2": "C/O CATHOLIC CHARITIES, DIOCESE OF JOLIET",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013833",
            "telephone_number": "815-933-7791",
            "fax_number": "815-933-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDAUFF",
        "first_name": "DEBORAH",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150010408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.