Individual provider Active NPI

Danette Perry, MBA,MSW,LSW

  • Social Worker
  • Oakbrook Terrace, IL
National Provider Identifier
1952609141
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.012363 Issued in IL
Practice address
2 Mid America PLZ Ste 800
Oakbrook Terrace, IL 60181-4727
Phone
(630) 437-1030
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.012363 IL Primary

Addresses

Primary practice location

2 Mid America PLZ Ste 800
Oakbrook Terrace, IL 60181-4727

Mailing address

740 S Grant St
Hinsdale, IL 60521-4455
Phone (630) 437-1030

Other identifiers 1

IdentifierTypeStateIssuer
150.012363OtherILLICENSED SOCIAL WORKER, MASTERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
150.012363ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1952609141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S GRANT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214455",
            "telephone_number": "630-437-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MID AMERICA PLZ STE 800",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814727",
            "telephone_number": "630-437-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DANETTE",
        "name_prefix": "Ms.",
        "credential": "MBA,MSW,LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.012363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER, MASTERS",
            "identifier": "150.012363",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.