Shania Lynn Dvorak, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

150113226 Issued in IL

Practice address

2302 Moreland Blvd
Champaign, IL 61822-1398

Phone

(217) 356-7576

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1871358259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 LANCASTER DR",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601409155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 MORELAND BLVD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221398",
            "telephone_number": "217-356-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "SHANIA",
        "middle_name": "LYNN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "150113226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Grace Dunn
• Ruth Durack, LCSW
• Belinda Durbin, RN
• Abike Ogunrenike Durojaye, M.D.
• Dva Renal Healthcare Inc (Illini Renal Dialysis)
• Brianna Dye, RBT
• Sadie Elizabeth Dykstra, PHARM.D.
• Susan J. Eagan, M.D.
• Cynthia Eagle
• Easter Seals-Ucp

• Addiction (Substance Use Disorder) Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.