Laura Mick Denatale, PH.D., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0149008148 Issued in IL

Practice address

636 Church St Ste 406
Evanston, IL 60201-4580

Phone

(847) 602-2876

Fax

(847) 602-2876

NPI assigned

Mar 8, 2007

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

Other identifiers 1

Other names 1

• Ms. Laura Mick Orogun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1619008992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454620",
            "telephone_number": "847-602-2876",
            "fax_number": "847-602-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 406",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014580",
            "telephone_number": "847-602-2876",
            "fax_number": "847-602-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENATALE",
        "first_name": "LAURA",
        "middle_name": "MICK",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "0149008148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL PIN",
            "identifier": "01622876",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "OROGUN",
            "middle_name": "MICK",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Delfs, DDS
• Jenely J Delgado
• Joshua David Della Villa, LPC
• Peter Walter Demuth, PSYD
• Mary Louise Denardo, MSW
• Ervin Denham, MD
• Mary Denise Denholm
• John C Denlinger, DPT
• Patience Dennison, LCSW
• Dental Health Care LTD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Oct 9, 2019; 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.