Organization Active NPI

Susan Zbacnik, LCSW, PC

  • Clinical Social Worker
  • Woodstock, IL
National Provider Identifier
1669603841
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-012216 Issued in IL
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

Updated by the provider on Aug 5, 2009

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.