Organization Active NPI

Janelle Dimichele, LCSW & Associates, LLC

  • Clinical Social Worker
  • Des Plaines, IL
National Provider Identifier
1780745349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JANELLE DIMICHELE, LCSW & ASSOCIATES, LLC
Practice address
960 Rand Rd
Suite 215
Des Plaines, IL 60016-2352
Phone
(847) 699-2100
Fax
(847) 699-2180
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janelle Ann Dimichele, MSW, LCSWNPI 1790983880
Title
President, Psychotherapist
Phone
(847) 699-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X IL Primary

Addresses

Primary practice location

960 Rand Rd
Suite 215
Des Plaines, IL 60016-2352

Mailing address

960 Rand Rd
Suite 215
Des Plaines, IL 60016-2352
Phone (847) 699-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140923001841 IL Part B Supplier - Clinic/Group Practice 7214156215 Receives reassigned benefits from 1 practitioner
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780745349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RAND RD",
            "address_2": "SUITE 215",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162352",
            "telephone_number": "847-699-2100",
            "fax_number": "847-699-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 RAND RD",
            "address_2": "SUITE 215",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162352",
            "telephone_number": "847-699-2100",
            "fax_number": "847-699-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANELLE DIMICHELE, LCSW & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMICHELE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-699-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.