Individual provider Active NPI

Jennifer Zerfowski, LCSW

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1720228919
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015692 Issued in IL
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

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
150.011938ILMDSocial Worker
149.015692ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Behavioral Health PLLC Clinical CurrentSince Dec 28, 2022 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.

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.

Verify at the official NPI Registry.