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ELISE JOELLE JOHNSTON DUMERAUF
NPI 1508348343
Social Worker - Clinical in Berwyn, IL

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
3620 WESLEY AVE, BERWYN, IL 60402(162) 128-9576 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elise Joelle Johnston Dumerauf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE JOELLE JOHNSTON DUMERAUF (NPI 1508348343) is an individual clinical provider in Berwyn, Illinois, licensed in Illinois (149023033) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508348343
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISE JOELLE JOHNSTON DUMERAUF
Location Address3620 WESLEY AVEBerwyn, IL 60402-3861
Mailing Address3620 Wesley AveBerwyn, IL 60402-3861
Phone(162) 128-9576
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 29, 2018
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1508348343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149023033
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.
3620 WESLEY AVE, Berwyn, IL 60402
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Joelle Johnston Dumerauf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668876533
PECOS Enrollment IDI20210814000200
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILD FERN CLINICAL THERAPY PLLC
Social Worker (Clinical)
3620 WESLEY AVE
BERWYN, IL 60402
Cook County (616) 212-8957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Johnston Dumerauf's NPI number?

The NPI number for Elise Johnston Dumerauf is 1508348343. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Elise Johnston Dumerauf located?

Elise Johnston Dumerauf practices at 3620 Wesley Ave, Berwyn, IL 60402. The listed phone number is (162) 128-9576.

What is Elise Johnston Dumerauf's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elise Johnston Dumerauf enrolled in Medicare?

Yes. Elise Johnston Dumerauf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elise Johnston Dumerauf was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.