Individual provider Active NPI

Dennis Nguyen, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1740671965
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019184 Issued in IL
Practice address
333 N Michigan Ave Ste 704
Chicago, IL 60601-3905
Phone
(224) 707-0633
NPI assigned
Feb 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 149019184 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 704
Chicago, IL 60601-3905

Mailing address

433 W Harrison St # 5409
Chicago, IL 60699-3916
Phone (224) 707-0633

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 26, 2018 through Sep 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149019184ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hearth Fire Counseling LLC Clinical Current Accepting new patients
Fulcrum Counseling LLC Clinical Current Accepting new patients
Chicago Compass Counseling, LLC Clinical Past Accepting new patients

Locations

333 N Michigan Ave
Ste 704
Chicago, IL 60601
Phone (224) 707-0633

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": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1740671965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W HARRISON ST # 5409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606993916",
            "telephone_number": "224-707-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013905",
            "telephone_number": "224-707-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DENNIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.