Jack Charles Sanders, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6650 North Northwest Hwy
Suite 201
Chicago, IL 60631-1307

Phone

(773) 467-1154

Fax

(773) 262-7237

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Higher Ground Wellness Group LTD

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1801425335
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588738652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 WEST FARWELL AVE",
            "address_2": "1 WEST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454809",
            "telephone_number": "773-467-1154",
            "fax_number": "773-262-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 NORTH NORTHWEST HWY",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311307",
            "telephone_number": "773-467-1154",
            "fax_number": "773-262-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JACK",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "01633967",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Sanders, MD
• Ellen C Sanders, PA-C
• Emily Sanders, OTR/L
• Eugenia T Sanders, M.D.
• Glenda K. Sanders, LCPC
• Jamilla Sanders, MSW
• Jes M Sanders, MD
• Joseph James Sanders, MSW, LCSW
• Julie Babb Sanders, M.D.
• Kathy Sanders, REGISTERED NURSE

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jul 8, 2007; 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.