Active NPI
Denise Tsioles, PHD, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1922011535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-008872
- Practice address
- 1300 W Belmont Ave
Suite #215
Chicago, IL 60657-3200 - Phone
- (773) 880-1485
- Fax
- (773) 880-1323
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-008872 | IL | Primary |
Addresses
Primary practice location
1300 W Belmont Ave
Suite #215
Chicago, IL 60657-3200
Mailing address
1300 W Belmont Ave
Suite #215
Chicago, IL 60657-3200
Phone (773) 880-1485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01634233 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Denise Duval
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210609001028 | IL | Practitioner - Clinical Social Worker | 5698175867 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-008872 | IL | MD | Clinical Social Worker |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322265600000",
"number": "1922011535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "SUITE #215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "773-880-1485",
"fax_number": "773-880-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "SUITE #215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "773-880-1485",
"fax_number": "773-880-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSIOLES",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "PHD, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2011-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-008872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01634233",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "DUVAL",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.