Kelly L.E. Dahl, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.011379 Issued in IL

Practice address

143 First St Ste 202
Batavia, IL 60510-3102

Phone

(630) 643-3484

NPI assigned

Apr 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669697835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S COMMONWEALTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064817",
            "telephone_number": "630-643-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 FIRST ST STE 202",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103102",
            "telephone_number": "630-643-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "KELLY",
        "middle_name": "L.E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004532299",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheina Croson
• Shonda Marie Crowley
• CS Counseling Limited
• Cathleen M Czaplewski
• Kathleen Dahl, M.S., CCC-SLP
• Benjamin Arthur Dakis
• Dyanna Klynn Dattilo
• Mitchael Deamantopulos
• Kristin Elizabeth Dean, MS CCC SLP L
• Christina Marie Deano, MS, OTR/L

• Clinical Social Worker in Batavia, IL
• Providers in Batavia, 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 Jul 8, 2007; 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.