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Daffaney Burnside

Social Worker β€’ Wheaton, IL

Active NPI 1396121059 Individual Practitioner Female Practitioner
Practice location in NPPES

111 N County Farm Rd
Wheaton, IL 601873977

Call 6302217400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 N County Farm Rd

Wheaton, IL 601873977

Telephone 6302217400
Organization at the Same NPPES Address or Phone
County Of Dupage Department Of Health Facility NPI 1134110786

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Wheaton and Illinois

62 active clinicians are listed under Social Worker with a practice address in Wheaton, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wheaton

0% of these 62 clinicians have the CMS telehealth indicator.

0% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-27
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Tina Bonarirgo , MSW

Social Worker - Clinical

NPI 1649678806

Master of Social Work

Quynh Chau , MA

Psychologist

NPI 1053787176

Master of Arts

Rebecca Crumpley , LCSW

Social Worker - Clinical

NPI 1861918385

Licensed Clinical Social Worker

Vanessa De La Mora , LCSW

Social Worker - Clinical

NPI 1376918417

Licensed Clinical Social Worker

Dr. Ashok Gupta , MD

Psychiatry & Neurology - Psychiatry

NPI 1891706255

Doctor of Medicine (M.D.)

Tara Krisch

Nurse Practitioner - Psychiatric/Mental Health

NPI 1619480159

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 27, 2020

Registered at 111 N COUNTY FARM RD, WHEATON, IL 601873977 (Tel: 6302217400)

πŸ“
Updated Business Mailing Address January 27, 2020

Registered at 111 N COUNTY FARM RD, WHEATON, IL 601873977 (Tel: 6302217400)

πŸ‘€
Provider Name / Credentials Updated January 27, 2020

Recorded as DAFFANEY BURNSIDE

βœ…
NPI Profile Active August 05, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2015

Registered at 2803 STONEWALL LN, JOLIET, IL 604359201 (Tel: 7082508716)

πŸ“
Business Mailing Address (Initial Record) August 05, 2015

Registered at 2803 STONEWALL LN, JOLIET, IL 604359201

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2015

Recorded as DAFFANEY CATHEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2015

Social Worker

🟒
Initial NPI Registration & Enumeration August 05, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396121059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2015
Last Update: January 27, 2020
Sole Proprietor: No

Mailing Address

111 N County Farm Rd

Wheaton, IL 601873977

Phone: 6302217400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.