Active NPI
Dana Fedorchak, LSW
- Social Worker
- Valparaiso, IN
National Provider Identifier
1730608159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33008808A
- Practice address
- 607 Lincolnway
Valparaiso, IN 46383 - Phone
- (219) 548-8727
- NPI assigned
- Sep 18, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Social Worker | 104100000X | 33008808A | NU | Primary |
Addresses
Primary practice location
607 Lincolnway
Valparaiso, IN 46383
Mailing address
292 E 129TH PL
Crown Point, IN 46307-7861
Phone (219) 308-5108
Other practice location 1
910 Michigan Ave
LA Porte, IN 46350-3505
Phone (219) 548-8727
Other practice location 2
2424 Franklin St
Michigan City, IN 46360-4562
Phone (219) 548-8727
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730608159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 E 129TH PL",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077861",
"telephone_number": "219-308-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 LINCOLNWAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-548-8727"
}
],
"practiceLocations": [
{
"address_1": "910 Michigan Ave",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "IN",
"postal_code": "463503505",
"country_code": "US",
"telephone_number": "219-548-8727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 Franklin St",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463604562",
"country_code": "US",
"telephone_number": "219-548-8727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDORCHAK",
"first_name": "DANA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": "33008808A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.