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DEIDRA DAME LSW
NPI 1518704501
Counselor - Professional in Champaign, IL

Active since July 09, 2024
495 DEVONSHIRE DR, CHAMPAIGN, IL 61820(217) 904-3035 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deidra Dame Lsw NPPES

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

DEIDRA DAME LSW (NPI 1518704501) is an individual professional provider in Champaign, Illinois, licensed in Illinois (150113585) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1518704501
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEIDRA DAMECredential: LSW
Location Address495 DEVONSHIRE DRChampaign, IL 61820-7295
Mailing Address495 Devonshire DrChampaign, IL 61820-7295 · (217) 904-3035
Phone(217) 904-3035
Sole ProprietorNo
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1518704501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 150113585
495 DEVONSHIRE DR, Champaign, IL 61820
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Other Providers at the Same Location NPPES 4

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

REBEKAH HADASSAH MAGEE
Counselor
495 DEVONSHIRE DR
CHAMPAIGN, IL 61820
Champaign County (217) 904-3035
JESSICA MEADOWS
Counselor (Mental Health)
495 DEVONSHIRE DR
CHAMPAIGN, IL 61820
Champaign County (217) 904-3035
MATTHEW SANDERS
Social Worker
495 DEVONSHIRE DR
CHAMPAIGN, IL 61820
Champaign County (217) 904-3035
AMANDA DIANNE CLIBURN LSW
Social Worker
495 DEVONSHIRE DR
CHAMPAIGN, IL 61820
Champaign County (217) 904-3035

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 Deidra Dame's NPI number?

The NPI number for Deidra Dame is 1518704501. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Deidra Dame located?

Deidra Dame practices at 495 Devonshire Dr, Champaign, IL 61820. The listed phone number is (217) 904-3035.

What is Deidra Dame's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Deidra Dame was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.