Active NPI
Catherine Dywan, LCSW
- Clinical Social Worker
- Winamac, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007415A
- Practice address
- 540 Hospital Dr
Winamac, IN 46996 - Phone
- (574) 946-2194
- NPI assigned
- Jul 27, 2012
- Last updated
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007415A | IN | Primary |
| Clinical Social Worker | 1041C0700X | 149016947 | IL |
Addresses
Primary practice location
540 Hospital Dr
Winamac, IN 46996
Mailing address
PO Box 279
Winamac, IN 46996-0279
Phone (574) 946-2147
Other practice location 1
1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Hospital Dr
Winamac, IN 46996-1173
Phone (574) 946-2194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016947 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients |
Locations
414 Lane St
North Judson, IN 46366
Phone (574) 896-2257
540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Winamac, IN
- NPI 1740403419
-
dba Healthwin Health & Rehabilitation
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1770839797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469960279",
"telephone_number": "574-946-2147",
"fax_number": "574-946-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 HOSPITAL DR",
"city": "WINAMAC",
"state": "IN",
"postal_code": "46996",
"telephone_number": "574-946-2194"
}
],
"practiceLocations": [
{
"address_1": "1015 Michigan Ave",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "469471526",
"country_code": "US",
"telephone_number": "574-722-5151",
"fax_number": "574-739-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYWAN",
"first_name": "CATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007415A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.