Jerome J Klinkner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-007838 Issued in IL

Practice address

6450 N Ridge Blvd
Chicago, IL 60626-4804

Phone

(773) 743-8700

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

91.66 of 100Reported as group

Quality

80.64

Improvement activities

40

Cost

74.35

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Deer Oaks Mid-West LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1154978476

  IL

  Medicare reassignment NPD
• Morning Star Counseling Services, Inc.

  • PACE Provider Organization
  • Evanston, IL
  • NPI 1154509883
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1124273149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 RIDGE AVE APT 1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602026416",
            "telephone_number": "847-866-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 N RIDGE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264804",
            "telephone_number": "773-743-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINKNER",
        "first_name": "JEROME",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PROVIDER ID, PROVIDER IN A GROUP",
            "identifier": "K20147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rayne Klingle, LCSW
• Klinivity Healthcare LLC
• Elizabeth Klink
• Klinkhamer Counseling Inc.
• Doris W. Klinkhamer, LCSW
• Michel Kliot, M.D.
• Kristen Michelle Klipfel, PH.D.
• Joseph Klis, PT, DPT
• Patrycja M Klis
• Thomas Klis

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Oct 2, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.