Individual provider Active NPI

Daniel Skubic, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1598562456
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028563 Issued in IL
Practice address
6122 N Kenmore Ave Apt 3W
Chicago, IL 60660-2726
Phone
(815) 531-7411
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926196 CO
Clinical Social Worker 1041C0700X 149028563 IL Primary

Addresses

Primary practice location

6122 N Kenmore Ave Apt 3W
Chicago, IL 60660-2726

Mailing address

6122 N Kenmore Ave Apt 3W
Chicago, IL 60660-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250624002238 CO Practitioner - Clinical Social Worker 6305358532 Reassigns benefits to 1 organization
I20250722000240 IL Practitioner - Clinical Social Worker 6305358532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926196COMDClinical Social Worker
149028563ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Jun 17, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 17, 2025 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

416 Main St
Ste 601
Peoria, IL 61602
Phone (217) 341-6550

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1598562456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 N KENMORE AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 N KENMORE AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602726",
            "telephone_number": "815-531-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBIC",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926196",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.