Individual ProviderChristy DaleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address325 Illinois Rt 2, Dixon, IL 61021-9118(857) 284-6611PECOS EnrollmentBased on the most recent information from CMS, provider Christy Dale is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942187463Provider TypeIndividualFull NameDale, ChristyCredentialLSW, CADCGenderFemaleSole ProprietorNoEnumeration Date8/18/2025Last Updated8/18/2025Contact InformationPractice LocationPractice Address325 Illinois Rt 2, Dixon, IL 61021-9118Phone(857) 284-6611FaxUnlisted FaxMailing LocationMailing Address325 Illinois Rt 2, Dixon, IL 61021-9118Phone(857) 284-6611FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense150116403Illinois