Susan Jacobowski, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010821 Issued in IL

Practice address

119 Stephen St
Lemont, IL 60439-3660

Phone

(630) 569-0436

Fax

(630) 257-7055

NPI assigned

Oct 19, 2007

Sex

Female

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Waterfall Counseling LLC

  • Clinical Social Worker
  • Lemont, IL
  • NPI 1174867048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1811186307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 STEPHEN ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393660",
            "telephone_number": "630-257-5757",
            "fax_number": "630-257-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 STEPHEN ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393660",
            "telephone_number": "630-569-0436",
            "fax_number": "630-257-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBOWSKI",
        "first_name": "SUSAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Pain and Neuropathy Center LTD
• Inspired Therapy Services, LLC
• Nooran Ismail
• Jacek Grela M.D., S.C.
• Aurimas Jackunas, PA-C
• Jeffrey E Forzley DC PC
• Deborah Jenkins
• Paige Jenkins
• Dalia Jodwalis, D.D.S.
• Leah Johnson

• Clinical Social Worker in Lemont, IL
• Providers in Lemont, 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 Aug 2, 2017; 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.