Jonathan Liu

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149025299 Issued in IL

Practice address

1330 S Lorraine Rd Apt a
Wheaton, IL 60189-7000

Phone

(630) 474-3505

NPI assigned

Jul 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, IL, NC3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premise Health of Illinois Medical PC

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921

  IL

  Medicare reassignment NPD
• Premise Health of North Carolina Medical PC

  • Multi-Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1427575869

  NC

  Medicare reassignment NPD
• The Miriam Hospital

  • Medical Specialty Clinic/Center
  • Providence, RI
  • NPI 1275810434

  Clinical, RI

  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Lisle, IL
  • NPI 1073025235
  NPD
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD
• Premise Health of North Carolina Medical PC

  • Multi-Specialty Clinic/Center
  • Raleigh, NC
  • NPI 1790202133
  NPD
• The Miriam Hospital

  • Cardiac Rehabilitation Clinic/Center
  • East Greenwich, RI
  • NPI 1518482389
  NPD

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1750797247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S LORRAINE RD APT A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897000",
            "telephone_number": "630-474-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S LORRAINE RD APT A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897000",
            "telephone_number": "630-474-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03113",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Lisatowicz, BSW
• Bethany Louise Litchfield, OTR/L
• Jakob Dylan Little I
• Kristy Littlefield, R.PH.
• Litwicki Counseling PLLC
• Kate H.a. Liu, M.D.
• Livbetter PLLC
• Ruth Aaron Livi, MS, RDN, LDN
• Patrick J Livingood, DC
• Catherine Lockman, LSW, LCSW

• All providers in Wheaton, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.