Individual provider Active NPI

Denise A Jabaay, LSW

  • Social Worker
  • Palos Heights, IL
National Provider Identifier
1174075568
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.013492 Issued in IL
Practice address
7515 W Manitoba Dr
Palos Heights, IL 60463-2019
Phone
(708) 705-3849
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.013492 IL Primary

Addresses

Primary practice location

7515 W Manitoba Dr
Palos Heights, IL 60463-2019

Mailing address

7515 W Manitoba Dr
Palos Heights, IL 60463-2019

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
I20191028003269 IL Practitioner - Clinical Social Worker 5395077192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7250 W College Dr
Suite 203C
Palos Heights, IL 60463-1151
Phone (708) 705-3849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.013492ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Life Counseling CurrentSince Oct 2, 2024 Accepting new patients

Locations

7250 W College Dr
#203C
Palos Heights, IL 60463

7250 W College Dr
Ste 203C
Palos Heights, IL 60463
Phone (708) 705-3849

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1174075568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 W MANITOBA DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 W MANITOBA DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632019",
            "telephone_number": "708-705-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABAAY",
        "first_name": "DENISE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.