Megan Szudarski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022662 Issued in IL

Practice address

4840 W Byron St
Chicago, IL 60641-2778

Phone

(773) 282-7800

NPI assigned

Oct 25, 2020

Last updated

Oct 29, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Connected Self PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1396607206
  NPD Authorized official
• Abbie Kelley, LLC

  dba AMK Counseling

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1386048825
  NPD (past)

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1811596364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N HAZEL ST APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131669",
            "telephone_number": "815-354-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W BYRON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412778",
            "telephone_number": "773-282-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUDARSKI",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C. Szrom-Gavin, D.D.S.
• Joanna Sztark
• Sylvia Sztark, LCPC
• Rebecca Szubert, PT, DPT
• Courtney Szudarski, BCBA
• Norbert Lukasz Szufa, M.D.
• Daria Sandra Szulik, PHARMD
• Madelynn M Szur
• Kenneth C. Szurgot, D.D.S.
• Lauren Szwajkowski

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.