Active NPI
Cory M Dolley, MSW
- Social Worker
- Darien, IL
National Provider Identifier
1982261020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.104268
- Practice address
- 7900 Cass Ave Ste 200
Darien, IL 60561-5073 - Phone
- (630) 884-8643
- NPI assigned
- May 23, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.104268 | IL | Primary |
Addresses
Primary practice location
7900 Cass Ave Ste 200
Darien, IL 60561-5073
Mailing address
4747 Lincoln Mall Dr Ste 101
Matteson, IL 60443-3812
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.104268 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1982261020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 LINCOLN MALL DR STE 101",
"city": "MATTESON",
"state": "IL",
"postal_code": "604433812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 CASS AVE STE 200",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615073",
"telephone_number": "630-884-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLEY",
"first_name": "CORY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.104268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.