Dakeda Renee Horton, PHD, LCSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009752 Issued in IL

Practice address

1100 S Hamilton Ave
Mental Health Department
Chicago, IL 60612

Phone

(312) 433-5704

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Dakeda Renee Horton Professional 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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1639501125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 W OGDEN AVE OFC 8400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123765",
            "telephone_number": "312-864-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S HAMILTON AVE",
            "address_2": "MENTAL HEALTH DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-433-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "DAKEDA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013618",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAKEDA",
            "last_name": "HORTON",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "PHD, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ilivia June Horsfall, OTD, OTR/L
• Neil L Horsley, D.P.M.
• Nicholas Homsy Horst
• Carla Horstman
• Andrienne Yasmin Horton-Smith, LCPC
• Jantelle R Horton, LSSP
• Kim Horton, LPC
• Rebekah J Horton
• Shareka D Horton, RHIT
• Nathan Patrick Horvat, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.