Individual provider Active NPI

Jarrett W Langfitt, LCSW, CADC

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1487288148
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022047 Issued in IL
Practice address
2501 Chatham Rd # 4282
Springfield, IL 62704-4188
Phone
(847) 318-3662
NPI assigned
Mar 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 149.022047 IL Primary

Addresses

Primary practice location

2501 Chatham Rd # 4282
Springfield, IL 62704-4188

Mailing address

2501 Chatham Rd # 4282
Springfield, IL 62704-4188
Phone (847) 318-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX, IN, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220412000606 CT Practitioner - Clinical Social Worker 5991191355 Reassigns benefits to 2 organizations
I20220413001818 TX Practitioner - Clinical Social Worker 5991191355 Reassigns benefits to 2 organizations
I20240725002601 IN Practitioner - Clinical Social Worker 5991191355 Reassigns benefits to 1 organization
I20240730004515 IL Practitioner - Clinical Social Worker 5991191355 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.022047ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince May 1, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 19, 2024 Accepting new patients
Family Service Center of Wilmette Glenview Northbrook Kenilworth Clinical CurrentSince Aug 1, 2024 Accepting new patients

Locations

777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 542-2808

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

191 Waukegan Rd
Ste 206
Northfield, IL 60093
Phone (847) 251-7350

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1487288148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD # 4282",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "847-318-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD # 4282",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "847-318-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFITT",
        "first_name": "JARRETT",
        "middle_name": "W",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.