Active NPI
Joseph James Sanders, MSW, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149007093
- Practice address
- 5888 N Ridge Ave
Chicago, IL 60660-3450 - Phone
- (248) 420-0162
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 149007093 | IL | Primary |
Addresses
Primary practice location
5888 N Ridge Ave
Chicago, IL 60660-3450
Mailing address
26157 W Rollins Rd
Ingleside, IL 60041-8530
Phone (847) 791-4659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, TN, NJ, SC, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (866) 630-0966
1400 Hooper Ave
Suite 2
Toms River, NJ 08753-2981
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149007093 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind PC | Clinical | Current | Accepting new patients |
| Wagner Medical PC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Sondermind, P.a. | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Clinical | Current | Accepting new patients |
| Shine Medical of Ca PC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
2031 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 382-1564
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398
170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304
110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1225697956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26157 W ROLLINS RD",
"city": "INGLESIDE",
"state": "IL",
"postal_code": "600418530",
"telephone_number": "847-791-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5888 N RIDGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603450",
"telephone_number": "248-420-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149007093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.