Individual provider Active NPI

Dorothea Swiderska, LCSW

  • Clinical Social Worker
  • Des Plaines, IL
National Provider Identifier
1790134039
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017709 Issued in IL
Practice address
9226 Golf Rd
Apt. 115
Des Plaines, IL 60016-1771
Phone
(773) 263-8896
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 149017709 IL Primary

Addresses

Primary practice location

9226 Golf Rd
Apt. 115
Des Plaines, IL 60016-1771

Mailing address

9226 Golf Rd
Apt. 115
Des Plaines, IL 60016-1771
Phone (773) 263-8896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160831000851 IL Practitioner - Clinical Social Worker 4880980820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

500 Asbury Ave
Evanston, IL 60202-2724
Phone (847) 316-3320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jun 8, 2019 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Jan 1, 2021 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

1051 Perimeter Dr
Ste 700
Schaumburg, IL 60173
Phone (269) 350-4593

3450 Oakton St
Ste 300
Skokie, IL 60076

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1790134039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 GOLF RD",
            "address_2": "APT. 115",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161771",
            "telephone_number": "773-263-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 GOLF RD",
            "address_2": "APT. 115",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161771",
            "telephone_number": "773-263-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDERSKA",
        "first_name": "DOROTHEA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.