Active NPI
Veronica Durdello, LCSW
- Mental Health Counselor
- Waterloo, IL
National Provider Identifier
1629510367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 988 N Illinois Route 3
Waterloo, IL 62298-1000 - Phone
- (618) 939-4444
- Fax
- (618) 939-4181
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017015587 | MO | MD | Clinical Social Worker |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2017015587 | MO | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
988 N Illinois Route 3
Waterloo, IL 62298-1000
Mailing address
988 N Illinois Route 3
PO Box 146
Waterloo, IL 62298-1000
Phone (618) 939-4444
Other practice location 1
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2026.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1629510367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 N ILLINOIS ROUTE 3",
"address_2": "PO BOX 146",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981000",
"telephone_number": "618-939-4444",
"fax_number": "618-939-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 N ILLINOIS ROUTE 3",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622981000",
"telephone_number": "618-939-4444",
"fax_number": "618-939-4181"
}
],
"practiceLocations": [
{
"address_1": "4066 Dunnica Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631163510",
"country_code": "US",
"telephone_number": "636-224-1700",
"fax_number": "314-535-5917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURDELLO",
"first_name": "VERONICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2017015587",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.