Individual provider Active NPI

Urszula Maria Duszynska, LSW, CADC

  • Social Worker
  • Deerfield, IL
National Provider Identifier
1548997810
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.105843 Issued in IL
Practice address
405 Lake Cook Rd
Deerfield, IL 60015-4993
Phone
(224) 303-4099
Fax
(224) 261-8772
NPI assigned
Aug 5, 2022
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X 150.105843 IL Primary

Addresses

Primary practice location

405 Lake Cook Rd
Deerfield, IL 60015-4993

Mailing address

405 Lake Cook Rd Ste 203
Deerfield, IL 60015-4993
Phone (224) 303-4099

Other practice location 1

8383 Belmont Ave
River Grove, IL 60171-1000
Phone (224) 303-4099

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
150.105843ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1548997810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD STE 203",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "224-303-4099",
            "fax_number": "224-261-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "224-303-4099",
            "fax_number": "224-261-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8383 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "River Grove",
            "state": "IL",
            "postal_code": "601711000",
            "country_code": "US",
            "telephone_number": "224-303-4099",
            "fax_number": "224-261-8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSZYNSKA",
        "first_name": "URSZULA",
        "middle_name": "MARIA",
        "credential": "LSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.