Jacqueline Liszewski, LCSW, MATS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

33008998A Issued in IN

Practice address

8000 Melton Rd
Gary, IN 46403-3114

Phone

(219) 938-4651

Fax

(219) 938-4679

NPI assigned

Aug 16, 2019

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacqueline Dorantes Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Munster Behavioral Health IncGroup PAC ID 5395113732, 6 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Munster Behavioral Health, Inc

  • Psychiatry Physician
  • Munster, IN
  • NPI 1295330736
  Medicare reassignment Care Compare group NPD
• Metro Treatment of Gary LP

  dba Semoran Treatment Center

  • Methadone Clinic
  • Gary, IN
  • NPI 1841412996
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1548816333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MELTON RD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464033114",
            "telephone_number": "219-938-4651",
            "fax_number": "219-938-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MELTON RD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464033114",
            "telephone_number": "219-938-4651",
            "fax_number": "219-938-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISZEWSKI",
        "first_name": "JACQUELINE",
        "credential": "LCSW, MATS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010715A",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "33008998A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.dorantes@cmglp.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8000 Melton Rd",
            "city": "Gary",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464033114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DORANTES",
            "credential": "LSW, MATS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Life Service Professional Corp
• Lighthouse Academies Inc
• Lighthouse Academies of Indiana, Inc. (West Gary Lighthouse Charter School)
• Linda T Stewart MD LTD
• Michael A Linton, MD
• David Lloyd I
• Monique L Lockett
• Lytitia C London
• Lunette L Lott, LPN
• Lashanna Shanice Lovell, M.D.

• Counselor in Gary, IN
• Providers in Gary, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.