Edith Jaucian, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024063 Issued in IL

Practice address

2500 W Higgins Rd Ste 105
Hoffman Estates, IL 60169-2040

Phone

(312) 880-7560

NPI assigned

Dec 10, 2021

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodasi LLC

  dba Ardent Center

  • Mental Health Counselor
  • Hoffman Estates, IL
  • NPI 1467691790

  Clinical

  NPD

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1144989849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 THATCHER AVE APT 2D",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711763",
            "telephone_number": "773-512-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD STE 105",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692040",
            "telephone_number": "312-880-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUCIAN",
        "first_name": "EDITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J. Jagmin, M.D.
• Rachel Jakubowski, PA-C
• James W. Sislow D.D.S. LTD.
• Tracy James
• Januario P. Estrada, M.D., S.C.
• Jayashree R. Raju, D.O., P.C.
• Jennifer Jedrzejczak
• Jeena Jacob Inc.
• Sandeep S Jejurikar, MD
• Simon Thomas Jencius, LCPC

• Clinical Social Worker in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Dec 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.