Elizabeth Dahll, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.102917 Issued in IL

Practice address

3047 N Lincoln Ave Unit 214
Chicago, IL 60657-4274

Phone

(772) 216-1214

NPI assigned

Jan 2, 2018

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rodney J. Benson, PHD and Associates, LLCGroup PAC ID 1052435419, 8 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 and National Provider Directory roles.

• Rodney J. Benson, PHD & Associates, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1396992616
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1912414814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE UNIT 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE UNIT 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574274",
            "telephone_number": "772-216-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLL",
        "first_name": "ELIZABETH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.102917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Grace Dahlgren, MSW, LCSW
• Dahlia Bloom Therapy PLLC
• Mimi Anne Dahlin, MD
• Ryan Matthew Dahlin, MD
• Daniel Louis Dahlinghaus, MD
• Katherine Dahm, PH.D.
• Marc Homer Dahman, M.D.
• Aaron Scott Dahmen, M.D.
• Caitlin Marie Dahmer, CNM
• Jennifer Dahms

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jan 2, 2018; 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.