Individual provider Active NPI

Danielle Kowach, LCSW

  • Clinical Social Worker
  • Monee, IL
National Provider Identifier
1568917318
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018201 Issued in IL
Practice address
5310 W Court St
Monee, IL 60449-8061
Phone
(708) 528-7448
NPI assigned
Aug 22, 2016
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149018201 IL Primary

Addresses

Primary practice location

5310 W Court St
Monee, IL 60449-8061

Mailing address

5310 W Court St
Monee, IL 60449-8061
Phone (708) 528-7448

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190110002116 IL Practitioner - Clinical Social Worker 7911243027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anxiety and Stress Center PCGroup PAC ID 9032299474, 7 clinicians

Practice addresses (Care Compare)

18161 Morris Ave
Suite 102
Homewood, IL 60430-2140
Phone (708) 349-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety and Stress Center, P.C. CurrentSince Oct 27, 2018 Accepting new patients

Locations

18161 Morris Ave
Ste 102
Homewood, IL 60430
Phone (708) 349-5433

15030 S Ravinia Ave
Ste 32
Orland Park, IL 60462
Phone (708) 349-5433

Organizations & group practices 1

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1568917318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W COURT ST",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498061",
            "telephone_number": "708-528-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W COURT ST",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498061",
            "telephone_number": "708-528-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWACH",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monee, IL

Sources for this page

Verify at the official NPI Registry.