Jill Suzanne Corder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015951 Issued in IL

Practice address

8608 Blackjack Hollows LN
Troy, IL 62294-2550

Phone

(618) 973-7139

Fax

(800) 856-4246

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jill Corder LLC

  • Community/Behavioral Health Agency
  • Troy, IL
  • NPI 1346950615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1447464367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 BLACKJACK HOLLOWS LN",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942550",
            "telephone_number": "618-973-7139",
            "fax_number": "800-856-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 BLACKJACK HOLLOWS LN",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942550",
            "telephone_number": "618-973-7139",
            "fax_number": "800-856-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.010688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CC Smiles LLC
• Chiropro of Glened LLC Dba Chiropro of Troy
• Choices Counseling, Inc.
• Jennifer Mary Joy Clark, FNP-BC
• Caroline Connolly, DMD
• Michael G Csaszar, D.M.D.
• Megan Daniele Daniels, BCBA
• Ann Davis, ANP
• Monica Dean
• Abreya Deckard

• Clinical Social Worker in Troy, IL
• Providers in Troy, 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 May 23, 2013; 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.