Akina Dawn Takahashi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017673 Issued in IL

Practice address

8707 Skokie Blvd Ste 302
Skokie, IL 60077-2281

Phone

(847) 668-4295

Fax

(847) 668-4295

NPI assigned

Feb 27, 2022

Sex

Female

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

Practice roles

Locations

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.

• North Shore Family Services

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1497194070
  NPD
• North Shore Family Services, LLC

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1427678408
  NPD

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

{
    "created_epoch": "1645920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645920000000",
    "number": "1730835828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 302",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772281",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "AKINA",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-27",
        "last_updated": "2022-02-27",
        "certification_date": "2022-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazher Syed, DDS
• Synapse Health, Inc.
• Rachael S Sytsma-Ramos, PSY.D.
• Wilbur B Tabamo, RPT
• Alfonso Javier Tafur, MD
• Alexa Takeuchi
• Tami Meyer, SLP, PLLC
• Elaine Anne Tancioco-Rokosz, O.D.
• My Kha Tang, PA-C
• Patricia Tanyi, RPH

• Clinical Social Worker in Skokie, IL
• Providers in Skokie, 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 Feb 27, 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.

Verify at the official NPI Registry.