Adventure Works of Dekalb County, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007034 Issued in IL

Legal business name

ADVENTURE WORKS OF DEKALB COUNTY, INC.

Practice address

1211 Sycamore Rd
Dekalb, IL 60115-2484

Phone

(815) 517-0825

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Lynette Spencer, LCSWNPI 1013920792

Title

Executive Director

Phone

(847) 867-8936

Specialties & licenses 1

Addresses

Tax ID family

Adventure Works of Dekalb County Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Adventure Works of Dekalb County, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Dekalb, IL
  • NPI 1184416539
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynette Spencer, LCSW

  • Clinical Social Worker
  • Batavia, IL
  • NPI 1013920792

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1821386236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152484",
            "telephone_number": "815-517-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152484",
            "telephone_number": "815-517-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE WORKS OF DEKALB COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-867-8936",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adams Family Eyecare, PC
• Christopher T Adams, CRNA
• Tiffany Adamson, APRN, FNP-BC
• Alexis Adler, COTA
• Adventure Works of Dekalb County, Inc.
• Aging Angels LLC
• Alexandra Agwuedu, RSA
• Saroj Ahluwalia, MD
• Talha Ahmed, DO
• Omar Albayati

• All providers in Dekalb, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.