Dimitria Vandarakis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012634 Issued in IL

Practice address

5120 Main St
Ste 103L
Downers Grove, IL 60515

Phone

(630) 890-9895

Fax

(630) 620-6194

NPI assigned

Apr 22, 2008

Last updated

Mar 14, 2012By the provider in NPPES

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adventist Health Partners, Inc.

  • Multi-Specialty Clinic/Center
  • La Grange, IL
  • NPI 1932650496
  Medicare reassignment Care Compare group NPD
• Adventist Health Partners, Inc

  dba Adventist Arthritis Center

  • Rheumatology Physician
  • Hinsdale, IL
  • NPI 1386075893
  NPD
• Adventist Health Partners,Inc

  dba Glendale Family Practice

  • Family Medicine Physician
  • Bloomingdale, IL
  • NPI 1043255888
  NPD

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1871767806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MAIN ST",
            "address_2": "STE 103L",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-890-9895",
            "fax_number": "630-620-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MAIN ST",
            "address_2": "STE 103L",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-890-9895",
            "fax_number": "630-620-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDARAKIS",
        "first_name": "DIMITRIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley View Dental Group LLC (Alora Dental Spa)
• Jonathan Valmores, PHARMD
• Jeanne T Van Denack, APN
• Paul Geoffrey Vana, M.D.
• Gale Carole Vance, LCSW
• Amy Weatherwax Vandenbrook, M.D.
• Berit Vandenbroucke, PT, DPT
• Amanda Grace Vander Wal, APN
• Kevin Vankanegan, DDS
• Irma I. Vargas, FNP

• Clinical Social Worker in Downers Grove, IL
• Providers in Downers Grove, 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 Mar 14, 2012; 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.