Individual provider Active NPI

Dominika Sekulska, LCSW, CADC

  • Clinical Social Worker
  • Palos Hills, IL
National Provider Identifier
1770866964
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-016323 Issued in IL
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140224001351 IL Practitioner - Clinical Social Worker 4385874148 Reassigns benefits to 4 organizations
I20240131003132 WA Practitioner - Clinical Social Worker 4385874148 Reassigns benefits to 1 organization

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
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

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

LicenseStateTypeSpecialty
30090ILMDAddiction (Substance Use Disorder) Counselor
149-016323ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Apr 7, 2025 Accepting new patients
Cook County CurrentSince Jul 23, 2020 Accepting new patients
Metropolitan Family Services CurrentSince Jan 20, 2015 Accepting new patients
Metropolitan Family Services Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 19, 2023 Accepting new patients
Cook County CurrentSince Jul 23, 2020 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.

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

Verify at the official NPI Registry.