Individual provider Active NPI

Cynthia A Blindauer, MSW, LCSW, ACSW

  • Clinical Social Worker
  • Tinley Park, IL
National Provider Identifier
1265772479
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001669 Issued in IL
Practice address
17255 Oak Park Ave
Tinley Park, IL 60477-3401
Phone
(708) 633-4533
NPI assigned
Feb 25, 2013
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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 149001669 IL Primary

Addresses

Primary practice location

17255 Oak Park Ave
Tinley Park, IL 60477-3401

Mailing address

14731 Ashborne Dr
Homer Glen, IL 60491-9422
Phone (708) 301-1285

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
I20130412000364 IL Practitioner - Clinical Social Worker 8527204718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doreen a. Zaborac and Associates, Inc.Group PAC ID 6204901150, 8 clinicians

Practice addresses (Care Compare)

17255 Oak Park Ave
Tinley Park, IL 60477-3401
Phone (708) 633-4533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doreen a. Zaborac & Associates, Inc. CurrentSince Mar 10, 2013 Accepting new patients

Locations

17255 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 633-4533

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

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1265772479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14731 ASHBORNE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919422",
            "telephone_number": "708-301-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17255 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773401",
            "telephone_number": "708-633-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINDAUER",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.