Individual provider Active NPI

Dana Murray, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1720502412
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027035 Issued in IL
Practice address
1431 N Western Ave Ste 202
Chicago, IL 60622-7712
Phone
(312) 633-5841
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 149027035 IL Primary

Addresses

Primary practice location

1431 N Western Ave Ste 202
Chicago, IL 60622-7712

Mailing address

856 N Paulina St Apt 3
Chicago, IL 60622-6083
Phone (504) 237-7888

Other practice location 1

1224 W Belmont Ave Ste 1
Chicago, IL 60657-9828
Phone (847) 256-7334

Other practice location 2

13888 Plank Rd
Baker, LA 70714-4929
Phone (225) 636-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149027035ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Community Health Inc Past Accepting new patients
The Theraplay Institute PastSince Mar 6, 2022 Accepting new patients
Michael Gaines and Faith LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dana.murray.1@16494.direct.athenahealth.com

Organizations & group practices 3

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1720502412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 N PAULINA ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226083",
            "telephone_number": "504-237-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227712",
            "telephone_number": "312-633-5841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 W Belmont Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579828",
            "country_code": "US",
            "telephone_number": "847-256-7334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13888 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Baker",
            "state": "LA",
            "postal_code": "707144929",
            "country_code": "US",
            "telephone_number": "225-636-2638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-05-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.