NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES (NPI# 1710225487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710225487 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES |
| Practice Address |
3 Friendship Plz Addison IL 60101-2787 |
| Practice Telephone | 6306937934 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | SHANNON HARTNETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6306937934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | ========= | IL | Agencies |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEAST DUPAGE FAMILY AND YOUTH SERVICES, INC | 3 Friendship Plaza, Addison, IL 60101-2787 |
| Street Address |
3 FRIENDSHIP PLZ |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954907 | Jaclyn Laporte | Counselor | 3 Friendship Plz, Addison, IL 60101-2787 | 2020-02-20 |
| 1740624931 | Rachel Menge | Social Worker | 3 Friendship Plz, Addison, IL 60101-2787 | 2013-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| 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 |
|---|---|---|---|---|
| 1710487129 | Rachel Marie Carter | Social Worker | 2055 W Army Trail Rd Ste 140, Addison, IL 60101-1478 | 2018-02-13 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1114464567 | Monica Flores | Social Worker | 15019 Sanford Rd, Addison, MI 49220-9746 | 2017-01-24 |
| 1841642097 | Maria D Sinkule | Social Worker | 284 N Brashares Dr, Addison, IL 60101-2103 | 2016-07-11 |
| 1487723490 | Virginia Ann Gemmell | Social Worker | 1000 W Lake St, Addison, IL 60101-2086 | 2006-11-06 |
| 1801404538 | Rebecca Razo | Social Worker | 4310 Wiley Post Rd Ste 200, Addison, TX 75001-4298 | 2020-07-20 |
| 1154989010 | Sapheallah N Harris | Social Worker | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2019-06-04 |
| 1871057927 | Anna Claire Dixon | Social Worker | 2055 W Army Trail Rd Ste 140, Addison, IL 60101-1478 | 2019-01-23 |
| 1750755625 | Edward Daniel Buck | Social Worker | 240 E Lake St, #203, Addison, IL 60101-2890 | 2015-11-16 |
| 1497150353 | Seema Shah | Social Worker | 875 S Ardmore Ave, Addison, IL 60101-6500 | 2014-11-04 |
| Find all providers in ADDISON | ||||
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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.