Active NPI
Susan Zbacnik, LCSW, PC
- Clinical Social Worker
- Woodstock, IL
National Provider Identifier
1669603841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-012216
- Legal business name
- SUSAN ZBACNIK, LCSW, PC
- Practice address
- 1216 N Seminary Ave
Suite E
Woodstock, IL 60098-4319 - Phone
- (847) 767-9621
- NPI assigned
- Aug 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Jane Zbacnik, LCSW
- Title
- Owner
- Phone
- (847) 767-9621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-012216 | IL | Primary |
Addresses
Primary practice location
1216 N Seminary Ave
Suite E
Woodstock, IL 60098-4319
Mailing address
1216 N Seminary Ave
Suite E
Woodstock, IL 60098-4319
Phone (847) 767-9621
National Provider Directory
National Provider DirectoryLocations
1216 N Seminary Ave
Ste E
Woodstock, IL 60098
Phone (847) 767-9621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249430400000",
"number": "1669603841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 N SEMINARY AVE",
"address_2": "SUITE E",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600984319",
"telephone_number": "847-767-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 N SEMINARY AVE",
"address_2": "SUITE E",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600984319",
"telephone_number": "847-767-9621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN ZBACNIK, LCSW, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A",
"authorized_official_last_name": "ZBACNIK",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-767-9621",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-012216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.