Jack F. Shauger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008239 Issued in IL

Practice address

3656 N Halsted St
Chicago, IL 60613-5974

Phone

(773) 746-3110

NPI assigned

Aug 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1275812034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 N GLENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401217",
            "telephone_number": "773-746-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135974",
            "telephone_number": "773-746-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGER",
        "first_name": "JACK",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shefali Shastri, M.D.
• Swapna Shastri, M.D.
• Jennifer Shastry, M.D.
• Joyce Shatney, LCSW
• Tiffany Jo Shattuck, BCBA
• Colleen Shaughnessy, N.P.
• Robert James Shaughnessy, CRNA
• Mary Shaver
• Zachary McDonald Shaver
• Andrea Leigh Shavitz, D.C.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.