Individual provider Active NPI

Jane Ann Gaitskill Hong, L.C.S.W.

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1669625992
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007730 Issued in IL
Practice address
64 Old Orchard Shopping Ctr
Suite 236
Skokie, IL 60077-1425
Phone
(312) 409-4535
Fax
(773) 539-9275
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149007730 IL Primary

Addresses

Primary practice location

64 Old Orchard Shopping Ctr
Suite 236
Skokie, IL 60077-1425

Mailing address

5823 N Drake Ave
Chicago, IL 60659-4403
Phone (773) 539-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20141111002140 IL Practitioner - Clinical Social Worker 7315169117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Braden Counseling Center PCGroup PAC ID 4981706348, 6 clinicians

Practice addresses (Care Compare)

2600 Dekalb Ave
Suite J
Sycamore, IL 60178-3132
Phone (815) 787-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Braden Counseling Center, P.C. Clinical CurrentSince Dec 11, 2018 Accepting new patients

Locations

300 W Washington St
Ste 203
Oregon, IL 61061
Phone 815787900016

951 S 7th St
Ste G
Rochelle, IL 61068
Phone (815) 561-8855

2600 DeKalb Ave
Ste J
Sycamore, IL 60178
Phone (815) 787-9000

1815 Mediterranean Dr
Ste 101
Sycamore, IL 60178

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.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1669625992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 N DRAKE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594403",
            "telephone_number": "773-539-9275",
            "fax_number": "773-539-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 OLD ORCHARD SHOPPING CTR",
            "address_2": "SUITE 236",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "312-409-4535",
            "fax_number": "773-539-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITSKILL HONG",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.