IndividualActive
Derrick Dunmore
NPI 1073335675 · Clinical Social Worker · Bolingbrook, IL
Provider details
- NPI number
- 1073335675
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149026406 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
246 Clubhouse St
Bolingbrook, IL 60490-2059
Phone: (630) 742-6899
Street-level locationGet directions
Mailing address
246 Clubhouse St
Bolingbrook, IL 60490-2059
Registry dates
- Enumerated
- 2024-10-26
- Last updated
- 2024-10-26
- Certified
- 2024-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.