Individual provider Active NPI

Stephanie Knight Englund, LSW, CADC

  • Social Worker
  • Dekalb, IL
National Provider Identifier
1821390972
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150105253 Issued in IL
Practice address
12 Health Services Dr
Dekalb, IL 60115-9637
Phone
(815) 756-4875
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A2161868 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 33201 IL
Social Worker 104100000X 150105253 IL Primary

Addresses

Primary practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Mailing address

1212 Ogletree PL
Dixon, IL 61021-1338
Phone (815) 503-1007

Other practice location 1

325 Rte 2
Dixon, IL 61021-9118
Phone (815) 284-6611

Other practice location 2

4705 N Sonora Ave
Fresno, CA 93722-3966
Phone (559) 276-7558

Other practice location 3

1901 1st Ave
Sterling, IL 61081-1203
Phone (815) 626-7333

Other identifiers 1

IdentifierTypeStateIssuer
E52479175630OtherILDRIVER'S LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A2161868CAMDAddiction (Substance Use Disorder) Counselor
33201ILMDAddiction (Substance Use Disorder) Counselor
150105253ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Solutions: Integrative Healing & Well Being LLC Past Accepting new patients

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1821390972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 OGLETREE PL",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211338",
            "telephone_number": "815-503-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-756-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Rte 2",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610219118",
            "country_code": "US",
            "telephone_number": "815-284-6611",
            "fax_number": "815-284-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 N Sonora Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223966",
            "country_code": "US",
            "telephone_number": "559-276-7558",
            "fax_number": "559-276-7568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610811203",
            "country_code": "US",
            "telephone_number": "815-626-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLUND",
        "first_name": "STEPHANIE",
        "middle_name": "KNIGHT",
        "name_prefix": "Mrs.",
        "credential": "LSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A2161868",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "33201",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "E52479175630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.