Susan L Dascenzi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012589 Issued in IL

Practice address

8700 W 95TH St
Suite #2
Hickory Hills, IL 60457-2700

Phone

(708) 598-9010

Fax

(708) 598-9013

NPI assigned

Jun 12, 2008

Sex

Female

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

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700

  IL

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, IL

  Medicare reassignment NPD
• Moraine Valley Wellness Centers CHTD

  dba Moraine Valley Chiropractic Center

  • Chiropractor
  • Hickory Hills, IL
  • NPI 1417928813
  NPD (past)
• Summit Center for Mental Health Inc

  • Professional Counselor
  • Joliet, IL
  • NPI 1548274863

  Clinical

  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1316107303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W 95TH ST",
            "address_2": "SUITE #2",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572700",
            "telephone_number": "708-598-9010",
            "fax_number": "708-598-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 95TH ST",
            "address_2": "SUITE #2",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572700",
            "telephone_number": "708-598-9010",
            "fax_number": "708-598-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASCENZI",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Colangelo, MS, OTR/L
• Julie Teresa Costa, CADC
• Lauren Mary Cummane, MS, CCC-SLP
• Karen Ann Czarnik, C.C.C.-SLP
• Anthony J Dal Ponte, PHARM. D.
• Niki Demakakos-Kasper, D.D.S
• Dennis E. Malecki M.D., S.C
• Dentalaveinc
• DGL Pathology Service Corporation
• Nareman Diab, PHARMD

• Clinical Social Worker in Hickory Hills, IL
• Providers in Hickory Hills, 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 Jun 12, 2008; 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.

Verify at the official NPI Registry.