Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114355351 Individual Practitioner Male Practitioner

Kevin Dodge

Social Worker • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Kevin Dodge is a registered healthcare professional specializing in Social Worker in Bloomington, IL. Practice services are available at 1003 MARTIN LUTHER KING DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1003 Martin Luther King Dr

Bloomington, IL 617011429

Telephone 3098276026
Fax 3098203745
Associated Practice Facility / Clinic
🏢 Chestnut Health Systems Inc Facility NPI 1366431686

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Bloomington, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
NPI 1003948183

Master of Arts, National Certified Counselor

Harold Piccinelli , MS, LCPC

Counselor - Professional

NPI 1013040138

Master of Science, Licensed Clinical Professional Counselor

Kristin Nafziger , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1023137767

Certified Alcohol and Drug Counselor

Sara Chlebanowski , LCSW

Social Worker - Clinical

NPI 1023415775

Licensed Clinical Social Worker

NPI 1043678030
Christopher Perkins , LCPC

Counselor - Professional

NPI 1104094630

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2013

Registered at 1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 617011429 (Tel: 3098276026)

📍
Updated Business Mailing Address October 25, 2013

Registered at 1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 617011429 (Tel: 3098276026)

👤
Provider Name / Credentials Updated October 25, 2013

Recorded as KEVIN DODGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2013

Social Worker

🟢
Initial NPI Registration & Enumeration October 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114355351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2013
Last Update: October 25, 2013
Sole Proprietor: No

Mailing Address

1003 Martin Luther King Dr

Bloomington, IL 617011429

Phone: 3098276026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.