Organization Active NPI

Melinda Dworkin & Associates Inc.

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1821228362
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011855 Issued in IL
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

Updated by the provider on Aug 4, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1699849018OtherILNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.