Active NPI
Jennifer Zerfowski, LCSW
- Clinical Social Worker
- Decatur, IL
National Provider Identifier
1720228919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.015692
- Practice address
- 5130 Hickory Point Frontage Rd Ste 230
Decatur, IL 62526-9773 - Phone
- (217) 207-0041
- Fax
- (217) 207-0042
- NPI assigned
- Feb 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.011938 | IL | |
| Clinical Social Worker | 1041C0700X | 149.015692 | IL | Primary |
Addresses
Primary practice location
5130 Hickory Point Frontage Rd Ste 230
Decatur, IL 62526-9773
Mailing address
1135 Rosewood Dr
Mount Zion, IL 62549-1046
Phone (217) 207-0041
Other practice location 1
1135 Rosewood Dr
Mount Zion, IL 62549-1046
Phone (217) 207-0041
Other names 1
- Jennifer McCauley
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 |
|---|---|---|---|
| 150.011938 | IL | MD | Social Worker |
| 149.015692 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope and Healing Behavioral Health PLLC | Clinical | Current | Accepting new patients |
Locations
5130 Hickory Point Frontage Rd
Ste 230
Decatur, IL 62526
Phone (217) 207-0041
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.
-
- Clinical Social Worker
- Decatur, IL
- NPI 1255043410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1720228919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 ROSEWOOD DR",
"city": "MOUNT ZION",
"state": "IL",
"postal_code": "625491046",
"telephone_number": "217-207-0041",
"fax_number": "217-207-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 HICKORY POINT FRONTAGE RD STE 230",
"city": "DECATUR",
"state": "IL",
"postal_code": "625269773",
"telephone_number": "217-207-0041",
"fax_number": "217-207-0042"
}
],
"practiceLocations": [
{
"address_1": "1135 Rosewood Dr",
"address_purpose": "LOCATION",
"city": "Mount Zion",
"state": "IL",
"postal_code": "625491046",
"country_code": "US",
"telephone_number": "217-207-0041",
"fax_number": "217-207-0042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZERFOWSKI",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-27",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.011938",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.015692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MCCAULEY",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.