Active NPI
Jennifer Claussen, LCSW
- Social Worker
- Oak Brook, IL
National Provider Identifier
1053563809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149-012949
- Practice address
- 2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175 - Phone
- (630) 586-0900
- Fax
- (630) 586-9990
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149-012949 | IL | Primary |
Addresses
Primary practice location
2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175
Mailing address
2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175
Phone (630) 586-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 30, 2016 through Jun 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-012949 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perrotta and Kraus PHDS PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Oak Brook, IL
- NPI 1295928968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1053563809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 BUTTERFIELD RD",
"address_2": "SUITE 240",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231175",
"telephone_number": "630-586-0900",
"fax_number": "630-586-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 BUTTERFIELD RD",
"address_2": "SUITE 240",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231175",
"telephone_number": "630-586-0900",
"fax_number": "630-586-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSSEN",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149-012949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.