Active NPI
Dominika Sekulska, LCSW, CADC
- Clinical Social Worker
- Palos Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-016323
- Practice address
- 10537 South Roberts Road
Palos Hills, IL 60465 - Phone
- (708) 974-2300
- Fax
- (708) 974-2498
- NPI assigned
- Sep 23, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 30090 | IL | |
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 149-016323 | IL | Primary |
Addresses
Primary practice location
10537 South Roberts Road
Palos Hills, IL 60465
Mailing address
10537 South Roberts Road
Palos Hills, IL 60465
Phone (708) 974-2300
Other names 1
- Dominika Sekulska
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
206 N Randolph St
2ND Floor Private Office 246
Champaign, IL 61820-3976
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30090 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 149-016323 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Metropolitan Family Services | Current | Accepting new patients | |
| Metropolitan Family Services | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Metropolitan Family Services | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Merrionette Park, IL
- NPI 1629283411
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1124233929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1841460391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1770866964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10537 SOUTH ROBERTS ROAD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "60465",
"telephone_number": "708-974-2300",
"fax_number": "708-974-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10537 SOUTH ROBERTS ROAD",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "60465",
"telephone_number": "708-974-2300",
"fax_number": "708-974-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEKULSKA",
"first_name": "DOMINIKA",
"name_prefix": "Ms.",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2022-07-21",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "30090",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-016323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIKA",
"last_name": "SEKULSKA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palos Hills, IL
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.
- 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.