COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL


Address: 845 W 69th Street, Lower Level, Chicago, IL 60621-1709
Phone: 9176184042

COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL (NPI# 1255804167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255804167
Entity Type Organization
Organization Name COREY & CYNTHIA F. DABNEY BEHAVIORAL HEALTH HOSPITAL
Other Organization Name DABNEY BEHAVIORAL HEALTH
Practice Address 845 W 69th Street
Lower Level
Chicago
IL 60621-1709
Practice Telephone 9176184042
Mailing Telephone 9176184042
Enumeration Date 2019-01-03
Last Update Date 2019-10-23
Authorized Official Name PROF. COREY DABNEY (CEO AND CHAIRMAN)
Authorized Official Telephone 9176184042
Authorized Official Credential QMHP, MBA, M.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 102L00000X Psychoanalyst Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Dabney Behavioral Health Doing Business As Name - Organization

Office Location

Street Address 845 W 69TH STREET
LOWER LEVEL
City CHICAGO
State IL
Zip Code 60621-1709

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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Competitor

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City CHICAGO
Zip Code 60621

Improve Information

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Dataset Information

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.

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