Individual provider Active NPI

Dana Michele Werner, ED.S., MSW, LSW

  • Social Worker
  • St Charles, IL
National Provider Identifier
1720807381
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150010471 Issued in IL
Practice address
3755 E Main St Ste 190
St Charles, IL 60174-2463
Phone
(630) 549-6245
Fax
(630) 701-9500
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 944526 IL
Social Worker 104100000X 150010471 IL Primary

Addresses

Primary practice location

3755 E Main St Ste 190
St Charles, IL 60174-2463

Mailing address

39W908 Carl Sandburg Rd
Saint Charles, IL 60175-7748
Phone (630) 624-6501

Other practice location 1

527 Illinois Ave
St Charles, IL 60174-3335
Phone (630) 549-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150010471ILMDSocial Worker
944526ILMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1720807381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39W908 CARL SANDBURG RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757748",
            "telephone_number": "630-624-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 E MAIN ST STE 190",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742463",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601743335",
            "country_code": "US",
            "telephone_number": "630-549-6245",
            "fax_number": "630-701-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "DANA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "ED.S., MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "944526",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150010471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.