Christine Daemicke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014717 Issued in IL

Practice address

12910 S 71St CT
Palos Heights, IL 60463-2116

Phone

(847) 275-1747

NPI assigned

Nov 6, 2013

Last updated

Nov 6, 2013By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 16, 2020 through Sep 16, 2026

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1932538360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 S 71ST CT",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632116",
            "telephone_number": "847-275-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 S 71ST CT",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632116",
            "telephone_number": "847-275-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAEMICKE",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamil Cwikla
• Jessica Czaja, LPC
• Dorota Czernecki, APRN, CNP
• Richard Gerard Czuma
• Joan M D'Astice, PT
• Fadi Daghlawi, MD
• Dahleen, Inc. (Home Instead Senior Care)
• Susan Damstra, PT
• Winston Dang, MD
• George J Dangles, M.D.

• Clinical Social Worker in Palos Heights, IL
• Providers in Palos Heights, 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 Nov 6, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.