Brenton Diers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-000172 Issued in IL

Practice address

1 Oakbrook Ter Ste 501
Oakbrook Terrace, IL 60181-4479

Phone

(708) 771-7180

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1689380453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKBROOK TER STE 501",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814479",
            "telephone_number": "708-771-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKBROOK TER STE 501",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814479",
            "telephone_number": "708-771-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERS",
        "first_name": "BRENTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley S Degroot, DDS
• Dental Care of Oakbrook, P.C
• Dental Town
• Dermatology Associates of Oakbrook Terrace SC
• Ola D Dickens, RT
• Phyllis A. Dixon, DDS
• Jahangeer Hameed Dogar, M.D.
• Meagan Donner
• Dr Joseph M Coscino PC
• Dr. Ja'Net M. Seward & Associates, P.C.

• Clinical Social Worker in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, 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 Jan 25, 2023; 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.