Dana Copertino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149021304 Issued in IL

Practice address

526 Crescent Blvd Ste 229
Glen Ellyn, IL 60137-4177

Phone

(630) 621-8803

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1841840428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 COLORADO AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232543",
            "telephone_number": "630-621-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CRESCENT BLVD STE 229",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374177",
            "telephone_number": "630-621-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPERTINO",
        "first_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concord Dental PC
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• Rebecca Conway, LCSW
• Cooperative Assoc for Spec Ed
• Copertino Counseling Inc
• Mark Copertino, MS, LCPC
• Wayne Corapi
• Core PT Limited Partnership
• Corepoint Diagnostics LLC
• Renee Corner, OT

• Clinical Social Worker in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.