Individual provider Active NPI

Dawn Elizabeth Sopron, L.C.S.W.

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1932133188
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004681 Issued in IL
Practice address
200 Ash St
Unit B
Crystal Lake, IL 60014-5956
Phone
(307) 752-7016
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW531 WY
Clinical Social Worker 1041C0700X 149004681 IL Primary

Addresses

Primary practice location

200 Ash St
Unit B
Crystal Lake, IL 60014-5956

Mailing address

PO Box 907
Cary, IL 60013-0907
Phone (307) 752-7016

Other identifiers 4

IdentifierTypeStateIssuer
396827550OtherILBCBSIL
F400698462OtherILMEDICARE NGS
20890OtherWYMEDICARE NORIDIAN
314353OtherWYBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000116 IL Practitioner - Clinical Social Worker 2264487602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Ash St
Apt B
Crystal Lake, IL 60014-5956
Phone (307) 752-7016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149004681ILMDClinical Social Worker
LCSW531WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Michele L Bennett MD PC Past Accepting new patients
Midwest Palliative & Hospice Carecenter Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dawnsopron@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1932133188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600130907",
            "telephone_number": "307-752-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ASH ST",
            "address_2": "UNIT B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145956",
            "telephone_number": "307-752-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPRON",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW531",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "396827550",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS",
            "identifier": "F400698462",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NORIDIAN",
            "identifier": "20890",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "314353",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.