Individual provider Active NPI

Draga Ilievski, PH.D., LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1801054515
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004858A Issued in IN
Practice address
5 Washington St
Suite 250
Valparaiso, IN 46383-4768
Phone
(219) 464-8811
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 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 34004858A IN Primary

Addresses

Primary practice location

5 Washington St
Suite 250
Valparaiso, IN 46383-4768

Mailing address

5 Washington St
Suite 250
Valparaiso, IN 46383-4768
Phone (219) 464-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34004858AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Draga Ilievski PH.D. LCSW Clinical Current Accepting new patients

Locations

5 Washington St
Ste 250
Valparaiso, IN 46383
Phone (219) 405-0250

Organizations & group practices 1

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1801054515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST",
            "address_2": "SUITE 250",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834768",
            "telephone_number": "219-464-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST",
            "address_2": "SUITE 250",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834768",
            "telephone_number": "219-464-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIEVSKI",
        "first_name": "DRAGA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004858A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.