David A Sisk, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-014323 Issued in IL

Practice address

588 Lincoln Ave Ste 200
Winnetka, IL 60093-2308

Phone

(773) 732-5073

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• David a Sisk PHD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winnetka, IL
  • NPI 1720654007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1790096261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 LINCOLN AVE STE 200",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932308",
            "telephone_number": "773-732-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 LINCOLN AVE STE 200",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932308",
            "telephone_number": "773-732-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 W Touhy Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606452833",
            "country_code": "US",
            "telephone_number": "773-761-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-014323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C. Sharp
• Ann W. Shine Duck, LCPC
• Matthew Adam Silver, LCSW
• Susanne Elizabeth Simmons, LMFT
• Simplipath, PLLC
• John J. Skowron Jr.
• Eleanor Gwen Smith, MD
• Julie Ann Smith, MS, CCC-SLP
• Solution Counseling and Therapy LTD
• Kathleen F Stebbins Sr., MS LPC NCC

• Clinical Social Worker in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.