Individual provider Active NPI

Danielle Dixon, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1649078551
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028607 Issued in IL
Practice address
10540 S Western Ave Ste 103
Chicago, IL 60643-2541
Phone
(773) 319-7691
NPI assigned
Mar 5, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.028607 IL Primary

Addresses

Primary practice location

10540 S Western Ave Ste 103
Chicago, IL 60643-2541

Mailing address

605 E Groveland Park
Chicago, IL 60616-4104
Phone (773) 319-7691

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250507001354 IL Practitioner - Clinical Social Worker 6204353873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inclusive Insight Psychotherapy and ConsultingGroup PAC ID 4880937903, 16 clinicians

Practice addresses (Care Compare)

10540 S Western Ave
Suite 313
Chicago, IL 60643-2529
Phone (773) 659-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Insight Psychotherapy & Consulting CurrentSince Mar 3, 2025 Accepting new patients

Locations

10540 S Western Ave
Ste 313
Chicago, IL 60643
Phone (312) 566-8596

840 W Irving Park Rd
Ste 302
Chicago, IL 60613
Phone (773) 871-5150

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1649078551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E GROVELAND PARK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164104",
            "telephone_number": "773-319-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432541",
            "telephone_number": "773-319-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.