Lashaun Dumas, MSW, LCPC
Individual provider Active NPI Clinical Social Worker · Dyer, IN
NPI 1912255290 · NPPES record last updated Mar 12, 2020
Key facts
- NPI
- 1912255290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.015407 (IL)
- Practice address
- 925 Killarney Dr
Dyer, IN 46311-1292 - Phone
- (773) 618-2231
- Fax
- (219) 865-7879
- NPI assigned
- Aug 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foundation for Outreach Services
Practice addresses (Care Compare)
326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900
6307 S Stewart Ave
Chicago, IL 60621-3116
Phone (773) 962-3900
Hospital & facility affiliations
- St Bernard Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200401000815 | IL | Practitioner - Clinical Social Worker | 7517396229 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.015407 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation for Outreach Services | Current |
Accepting new patients | |
| C.L.O. Psychological, Serv. | Past | Accepting new patients |
Locations
6307 S Stewart Ave
Chicago, IL 60621
Phone (773) 776-8800
326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.015407 | IL | Yes |
Addresses
Primary practice location
925 Killarney Dr
Dyer, IN 46311-1292
Mailing address
925 Killarney Dr
Dyer, IN 46311-1292
Phone (773) 618-2231
Other providers in Dyer, IN
- Stefani Djordjevich
- Alicia Diane Doolin
- John Michael Dorn
- Lauren Drafke
- Kunwarjit Singh Duggal
- Josilyn Dunn
- Derrick Durrah
- Christina M Dust
- Dyer Dental Professionals, Inc.
- Dyer Dental, LLC
All providers in Dyer, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.