Individual provider Active NPI

Christy Dale, LCSW, CADC

  • Clinical Social Worker
  • Princeton, IL
National Provider Identifier
1942187463
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.031938 Issued in IL
Practice address
503 S Main St Apt 1
Princeton, IL 61356-2060
Phone
(331) 216-4477
NPI assigned
Aug 18, 2025
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.031938 IL Primary

Addresses

Primary practice location

503 S Main St Apt 1
Princeton, IL 61356-2060

Mailing address

503 S Main St Apt 1
Princeton, IL 61356-2060
Phone (331) 216-4477

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
I20250829000025 IL Practitioner - Clinical Social Worker 7214438423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

325 Il Route 2
Dixon, IL 61021

503 S Main St
Apt 1
Princeton, IL 61356-2060

503 S Main St Apt
Suite 1
Princeton, IL 61356-2060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.031938ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sinnissippi Centers, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Sinnissippi Centers, Inc. Current Accepting new patients
Sinnissippi Centers, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Sinnissippi Centers, Inc. PastSince Aug 25, 2025 Accepting new patients

Locations

325 Il Route 2
Dixon, IL 61021
Phone (815) 288-6611

325 Illinois Route 2
Dixon, IL 61021
Phone (815) 562-3801

Rte 2 325 Illinois
Dixon, IL 61021

1321 N 7th St
Rochelle, IL 61068
Phone (815) 562-3801

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1942187463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST APT 1",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562060",
            "telephone_number": "331-216-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST APT 1",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562060",
            "telephone_number": "331-216-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "CHRISTY",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.031938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

Verify at the official NPI Registry.