Individual provider Active NPI

Deborah A Janos, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1275069205
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017641 Issued in IL
Practice address
6011 N Olympia Ave
Chicago, IL 60631-3825
Phone
(773) 307-2758
NPI assigned
May 11, 2017
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 149.017641 IL Primary

Addresses

Primary practice location

6011 N Olympia Ave
Chicago, IL 60631-3825

Mailing address

6011 N Olympia Ave
Chicago, IL 60631-3825
Phone (773) 307-2758

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
I20170524000352 IL Practitioner - Clinical Social Worker 4284901232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nancy Eschbach LCSW and AssociatesGroup PAC ID 9638433915, 7 clinicians

Practice addresses (Care Compare)

636 S River Rd
Suite 100
Des Plaines, IL 60016-4624
Phone (847) 877-3970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017641ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Eschbach LCSW and Associates Clinical CurrentSince Mar 1, 2019 Accepting new patients

Locations

636 S River Rd
Ste 100
Des Plaines, IL 60016
Phone (847) 877-3970

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1275069205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 N OLYMPIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313825",
            "telephone_number": "773-307-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N OLYMPIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313825",
            "telephone_number": "773-307-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOS",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.