Individual provider Active NPI

Jazmin Senoussi, LCSW

  • Clinical Social Worker
  • Warrenville, IL
National Provider Identifier
1760079289
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150111626 Issued in IL
Practice address
4300 Weaver Pkwy Ste 100a
Warrenville, IL 60555-3920
Phone
(630) 416-8289
NPI assigned
Dec 30, 2020
Reactivated
Feb 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 150111626 IL Primary
Clinical Social Worker 1041C0700X IL

Addresses

Primary practice location

4300 Weaver Pkwy Ste 100a
Warrenville, IL 60555-3920

Mailing address

120 E Ogden Ave Ste 22a
Hinsdale, IL 60521-3542

Other practice location 1

120 E Ogden Ave Ste 22A
Hinsdale, IL 60521-3542
Phone (630) 349-2638

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
I20260617000444 IL Practitioner - Clinical Social Worker 3779055157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

6800 Joliet Rd
Indian Head Park, IL 60525-4460
Phone (708) 246-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150111626ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Human Resonance Clinical Current Accepting new patients
Conventions Psychiatry & Counseling, P.C. PastSince Jan 28, 2024 Accepting new patients

Locations

120 E Ogden Ave
Ste 22A
Hinsdale, IL 60521

Organizations & group practices 3

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1760079289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 22A",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEAVER PKWY STE 100A",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553920",
            "telephone_number": "630-416-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Ogden Ave Ste 22A",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213542",
            "country_code": "US",
            "telephone_number": "630-349-2638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENOUSSI",
        "first_name": "JAZMIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "deactivation_date": "2026-01-26",
        "reactivation_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150111626",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.