BRIAN WORTEL (NPI# 1013538271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013538271 |
| Entity Type | Individual |
| Full Name | BRIAN WORTEL |
| Practice Address |
15104 W 102nd Ave Dyer IN 46311-7755 |
| Practice Telephone | 2198952946 |
| Mailing Telephone | 2198952946 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.021832 | IL | Behavioral Health & Social Service Providers |
| Street Address |
15104 W 102ND AVE |
| City | DYER |
| State | IN |
| Zip Code | 46311-7755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023059078 | Stephen K Kimani | Social Worker | 202 Joliet St, Suite 200 B, Dyer, IN 46311-1724 | 2006-06-09 |
| 1881141752 | Valerie Boromisa | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2016-09-08 |
| 1043696024 | Susan M Meiller | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2015-08-03 |
| 1811241573 | Brian W Holt | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2012-11-02 |
| 1912255290 | Lashaun Dumas | Social Worker | 925 Killarney Dr, Dyer, IN 46311-1292 | 2012-08-17 |
| 1043507650 | Robert G Crytzer | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2011-07-03 |
| 1639362841 | Donna M Ruebensam | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2007-08-21 |
| 1124195367 | Joyce A White | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2006-11-30 |
| 1629085857 | Fidel Ricardo Martinez | Social Worker | 24 Joliet St, Dyer, IN 46311-1705 | 2006-08-01 |
| 1295762094 | Sylvia Aschliman | Social Worker | 202 Joliet St, Suite 200 B, Dyer, IN 46311-1724 | 2006-06-27 |
| Find all providers in DYER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.