Audrey Damore, L.C.S.W., C.A.D.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020182 Issued in IL

Practice address

3809 Magnolia Dr
Spring Grove, IL 60081-8631

Phone

(612) 741-1178

NPI assigned

Feb 25, 2015

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Calmly Centered Therapy, PLLCGroup PAC ID 7618375783, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Calmly Centered Therapy, PLLC

  • Clinical Social Worker
  • Spring Grove, IL
  • NPI 1558030148
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1588056766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 MAGNOLIA DR",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818631",
            "telephone_number": "612-741-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 MAGNOLIA DR",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818631",
            "telephone_number": "612-741-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMORE",
        "first_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Bennett
• Kyle Lynn Beres, PT
• Brian a. Rybicki, DDS, P.C. (Spring Grove Dental)
• Natalie Caliendo Johnson, RPH
• Calmly Centered Therapy, PLLC
• Lauren Destephano, DC, DACNB
• Nikolas Destephano, DC
• Ralph Destephano, DC, DACNB
• Elizabeth J. Devaney, M.D.
• Discover Chiropractic Health Center LTD

• Clinical Social Worker in Spring Grove, IL
• Providers in Spring Grove, 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 Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.