Active NPI
Sarah Elizabeth Jain, LCSW
- Clinical Social Worker
- Orland Park, IL
National Provider Identifier
1639495583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014077
- Practice address
- 1800 Ravinia PL
Orland Park, IL 60462-3761 - Phone
- (708) 403-7570
- Fax
- (708) 403-7546
- NPI assigned
- Apr 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149014077 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 34005915A | IN | |
| Clinical Social Worker | 1041C0700X | 6801087443 | MI |
Addresses
Primary practice location
1800 Ravinia PL
Orland Park, IL 60462-3761
Mailing address
19838 Clare Dr
Tinley Park, IL 60487-3581
Phone (815) 464-1503
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087443 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emotion Management Program LLC | 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 and National Provider Directory roles.
-
dba Emotion Management Program
- Clinical Psychologist
- Orland Park, IL
- NPI 1083780522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1639495583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19838 CLARE DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604873581",
"telephone_number": "815-464-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 RAVINIA PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623761",
"telephone_number": "708-403-7570",
"fax_number": "708-403-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-18",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014077",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005915A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801087443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.