Active NPI
Sandra I Ziesak-Serrano, LCSW
- Clinical Social Worker
- Barrington, IL
National Provider Identifier
1174259873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.012482
- Practice address
- 330 E Main St Ste 209
Barrington, IL 60010-3203 - Phone
- (224) 308-8534
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.012482 | IL | Primary |
Addresses
Primary practice location
330 E Main St Ste 209
Barrington, IL 60010-3203
Mailing address
880 Prague Ave
Buffalo Grove, IL 60089-2815
Phone (224) 308-8534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.012482 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Good Care Counseling, Inc | Clinical | Current | Accepting new patients |
Locations
330 E Main St
Ste 209
Barrington, IL 60010
Phone (224) 308-8534
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barrington, IL
- NPI 1295454171
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1174259873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 PRAGUE AVE",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892815",
"telephone_number": "224-308-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E MAIN ST STE 209",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600103203",
"telephone_number": "224-308-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIESAK-SERRANO",
"first_name": "SANDRA",
"middle_name": "I",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.012482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.