Individual provider Active NPI

Janet Lee Yelovich, LCSW

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1053433698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
21W762 Glen Valley Dr
Glen Ellyn, IL 60137-7041
Phone
(630) 790-2393
Fax
(630) 790-2393
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

21W762 Glen Valley Dr
Glen Ellyn, IL 60137-7041

Mailing address

21W762 Glen Valley Dr
Glen Ellyn, IL 60137-7041
Phone (630) 790-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000118 IL Practitioner - Clinical Social Worker 9830371517 Practice locations: Glen Ellyn, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 W762 Glen Valley Dr
Glen Ellyn, IL 60137-7041
Phone (630) 790-2393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.001663ILMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053433698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21W762 GLEN VALLEY DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377041",
            "telephone_number": "630-790-2393",
            "fax_number": "630-790-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21W762 GLEN VALLEY DR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377041",
            "telephone_number": "630-790-2393",
            "fax_number": "630-790-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELOVICH",
        "first_name": "JANET",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.