Individual provider Active NPI

Dionne Catledge, MSW

  • Social Worker
  • Oak Park, IL
National Provider Identifier
1811082597
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1122 Westgate St Ste 203a&B
Oak Park, IL 60301-1170
Phone
(708) 369-0653
Fax
(708) 469-4718
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.013456 IL
Social Worker 104100000X Primary

Addresses

Primary practice location

1122 Westgate St Ste 203a&B
Oak Park, IL 60301-1170

Mailing address

1122 Westgate St Ste 203a&B
Oak Park, IL 60301-1170
Phone (708) 369-0653

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

State licenses

LicenseStateTypeSpecialty
149.013456ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1811082597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 WESTGATE ST STE 203A&B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011170",
            "telephone_number": "708-369-0653",
            "fax_number": "708-469-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WESTGATE ST STE 203A&B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011170",
            "telephone_number": "708-369-0653",
            "fax_number": "708-469-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATLEDGE",
        "first_name": "DIONNE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013456",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.