Active NPI
Aurelia Dothager, LCSW
- Social Worker
- Decatur, IL
National Provider Identifier
1649349739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149005526
- Practice address
- 2570 Federal Drive
Decatur, IL 62526 - Phone
- (217) 872-1003
- Fax
- (217) 233-4150
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149005526 | IL | Primary |
Addresses
Primary practice location
2570 Federal Drive
Decatur, IL 62526
Mailing address
2570 Federal Drive
Decatur, IL 62526
Phone (217) 872-1003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05821971 | Other | IL | BCBS |
| 800013359 | Other | RR MED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149005526 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1649349739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 FEDERAL DRIVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "62526",
"telephone_number": "217-872-1003",
"fax_number": "217-233-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 FEDERAL DRIVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "62526",
"telephone_number": "217-872-1003",
"fax_number": "217-233-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTHAGER",
"first_name": "AURELIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149005526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05821971",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED",
"identifier": "800013359",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.