Mindy Jo Sherack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009176 Issued in IL

Practice address

6006 159TH St
Oak Forest, IL 60452-2904

Phone

(773) 916-7107

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Growing Further Coaching PLLC

  • Community/Behavioral Health Agency
  • Orland Park, IL
  • NPI 1689557092
  NPD Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1093736092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604540468",
            "telephone_number": "773-916-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 159TH ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522904",
            "telephone_number": "773-916-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERACK",
        "first_name": "MINDY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shay Health Care Services, Inc
• Susan Sheahan
• Ronald Shear III, LCSW
• Patricia Sheehan-Jones
• Sheila M. Vacendak, DDS, PC
• Sherry Petro & Assoc
• Darshana J Sheth, MD
• Veeral Sheth, M.D.
• Oyeyemi Anthony Shodiya
• Kareema Siddiqui

• Clinical Social Worker in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.