Individual provider Active NPI

Jennifer Scharping, LCSW

  • Clinical Social Worker
  • Richton Park, IL
National Provider Identifier
1134448343
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011609 Issued in IL
Practice address
5064 Imperial Dr
Richton Park, IL 60471-1651
Phone
(857) 526-6968
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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 149011609 IL Primary

Addresses

Primary practice location

5064 Imperial Dr
Richton Park, IL 60471-1651

Mailing address

5064 Imperial Dr
Richton Park, IL 60471-1651
Phone (857) 526-6968

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
I20230216002141 IL Practitioner - Clinical Social Worker 9830561026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Counseling and Wellness LLCGroup PAC ID 1355728353, 29 clinicians

Practice addresses (Care Compare)

9501 W 144TH PL
Suite 304
Orland Park, IL 60462-2564
Phone (708) 628-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011609ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Counseling and Wellness LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

9501 W 144th Pl
Ste 304
Orland Park, IL 60462
Phone (708) 628-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1134448343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5064 IMPERIAL DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711651",
            "telephone_number": "857-526-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5064 IMPERIAL DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711651",
            "telephone_number": "857-526-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARPING",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richton Park, IL

Sources for this page

Verify at the official NPI Registry.