Active NPI
Melissa Jennifer Sakkos, LSW
- Clinical Social Worker
- Clarendon Hills, IL
National Provider Identifier
1497336358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150.104954
- Practice address
- 125 55TH St Ste 200
Clarendon Hills, IL 60514-6307 - Phone
- (630) 286-2785
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150.104954 | IL | Primary |
Addresses
Primary practice location
125 55TH St Ste 200
Clarendon Hills, IL 60514-6307
Mailing address
125 55TH St Ste 200
Clarendon Hills, IL 60514-6307
Phone (630) 286-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.104954 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica a Sweet Therapy | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1497336358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 55TH ST STE 200",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605146307",
"telephone_number": "630-286-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 55TH ST STE 200",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605146307",
"telephone_number": "630-286-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKKOS",
"first_name": "MELISSA",
"middle_name": "JENNIFER",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2021-05-19",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150.104954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarendon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.