Individual provider Active NPI

Jordan L Spinazzola, MSW, ACSW, LSW

  • Social Worker
  • Elgin, IL
National Provider Identifier
1811488752
Registry record updated May 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.102271 Issued in IL
Practice address
620 Wing St
Elgin, IL 60123-2800
Phone
(847) 450-0524
NPI assigned
May 26, 2018
Last updated
May 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.102271 IL Primary

Addresses

Primary practice location

620 Wing St
Elgin, IL 60123-2800

Mailing address

515 Walker Rd
Hinsdale, IL 60521-3526
Phone (630) 272-3828

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
I20260514001129 IL Practitioner - Clinical Social Worker 5496224925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

38621 B Ave
Zephyrhills, FL 33542-6060

800 Roosevelt Rd
Suite C206
Glen Ellyn, IL 60137-5851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.102271ILMDSocial Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1811488752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WALKER RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213526",
            "telephone_number": "630-272-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WING ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232800",
            "telephone_number": "847-450-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINAZZOLA",
        "first_name": "JORDAN",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MSW, ACSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.