Individual provider Active NPI

Emily Elizabeth Dohm

  • Social Worker
  • Barrington, IL
National Provider Identifier
1679106207
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150103667 Issued in IL
Practice address
509 W Old Northwest Hwy Ste 120
Barrington, IL 60010-6816
Phone
(224) 339-4921
NPI assigned
Feb 21, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150103667 IL Primary

Addresses

Primary practice location

509 W Old Northwest Hwy Ste 120
Barrington, IL 60010-6816

Mailing address

509 W Old Northwest Hwy Ste 120
Barrington, IL 60010-6816
Phone (224) 339-4921

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
I20211012002727 IL Practitioner - Clinical Social Worker 7719385392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lotus Wellness Center PCGroup PAC ID 8921375908, 7 clinicians

Practice addresses (Care Compare)

1240 W Northwest Hwy
Palatine, IL 60067-1897
Phone (773) 592-7227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150103667ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Wellness Center P.C. CurrentSince Sep 13, 2021 Accepting new patients

Locations

1240 W Northwest Hwy
Palatine, IL 60067
Phone (773) 592-7227

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1679106207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W OLD NORTHWEST HWY STE 120",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600106816",
            "telephone_number": "224-339-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W OLD NORTHWEST HWY STE 120",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600106816",
            "telephone_number": "224-339-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHM",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.