Susan L Sack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-000571 Issued in IL

Practice address

1544 Shermer Rd
Northbrook, IL 60062-5347

Phone

(847) 564-4655

Fax

(847) 205-9363

NPI assigned

Mar 14, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1447558598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 RIDGE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624628",
            "telephone_number": "847-564-4655",
            "fax_number": "847-205-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625347",
            "telephone_number": "847-564-4655",
            "fax_number": "847-205-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACK",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayrouz Saad
• Ana Sabic
• Janinna Sabin, LCSW
• Martin Nathan Sachman, MD
• Elizabeth Sachs
• Beth Sackett, LCSW, CADC
• Samantha Sadler
• Jodi A Salata, ALMFT
• Naomi Salerno
• Diana Salgado, RBT-19-84114

• Clinical Social Worker in Northbrook, IL
• Providers in Northbrook, 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 Mar 14, 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.