Individual provider Active NPI

Dawn L Whetstine, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1699856575
Registry record updated May 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007209 Issued in IL
Practice address
830 E Higgins Rd Ste 104H
Schaumburg, IL 60173-4792
Phone
(708) 825-6037
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2017

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 149007209 IL Primary

Addresses

Primary practice location

830 E Higgins Rd Ste 104H
Schaumburg, IL 60173-4792

Mailing address

830 E Higgins Rd Ste 104H
Schaumburg, IL 60173-4792
Phone (708) 825-6037

Other identifiers 2

IdentifierTypeStateIssuer
149007209OtherILLCSW
1841615929OtherILPRACTICE AFFILIATION NPI

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
I20170922002784 IL Practitioner - Clinical Social Worker 9436423894 Reassigns benefits to 1 organization
Practice locations: Schaumburg, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

830 E Higgins Rd
Suite 104H
Schaumburg, IL 60173-4792
Phone (708) 825-6037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149007209ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Live Out Loud Counseling Services PLLC Clinical CurrentSince Sep 16, 2020 Accepting new patients
Dr Ralph Whetstine PSYD & Assoc PC CurrentSince Sep 16, 2020 Accepting new patients

Locations

830 E Higgins Rd
Ste 104H
Schaumburg, IL 60173
Phone (708) 825-6037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494028800000",
    "number": "1699856575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD STE 104H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734792",
            "telephone_number": "708-825-6037",
            "fax_number": "708-919-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E HIGGINS RD STE 104H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734792",
            "telephone_number": "708-825-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTINE",
        "first_name": "DAWN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149007209",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE AFFILIATION NPI",
            "identifier": "1841615929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.