Active NPI
Melinda Dworkin & Associates Inc.
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1821228362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.011855
- Legal business name
- MELINDA DWORKIN & ASSOCIATES INC.
- Practice address
- 1609 Sherman Ave
Suite 300
Evanston, IL 60201-3753 - Phone
- (847) 475-0451
- Fax
- (847) 475-4849
- NPI assigned
- Jul 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melinda Dworkin, LCSW
- Title
- President
- Phone
- (847) 475-0451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.011855 | IL | Primary |
Addresses
Primary practice location
1609 Sherman Ave
Suite 300
Evanston, IL 60201-3753
Mailing address
1617 Brummel St
Evanston, IL 60202-3709
Phone (847) 475-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699849018 | Other | IL | NPI INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
1609 Sherman Ave
Ste 300
Evanston, IL 60201
Phone (847) 475-0451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1821228362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 BRUMMEL ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023709",
"telephone_number": "847-475-0451",
"fax_number": "847-475-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 SHERMAN AVE",
"address_2": "SUITE 300",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013753",
"telephone_number": "847-475-0451",
"fax_number": "847-475-4849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELINDA DWORKIN & ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-17",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "DWORKIN",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-475-0451",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.011855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1699849018",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.