Individual provider Active NPI

Tania Grace Zubkus, LCSW

  • Clinical Social Worker
  • River Forest, IL
National Provider Identifier
1841806445
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.023639 Issued in IL
Practice address
1544 Ashland Ave
River Forest, IL 60305-1175
Phone
(708) 274-7945
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.023639 IL Primary

Addresses

Primary practice location

1544 Ashland Ave
River Forest, IL 60305-1175

Mailing address

1544 Ashland Ave Unit 1
River Forest, IL 60305-1175
Phone (708) 274-7945

Other identifiers 1

IdentifierTypeStateIssuer
149.023639OtherILIDFPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.023639ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tania Zubkus Psychotherapy Services, PLLC Clinical CurrentSince Jun 12, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1841806445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 ASHLAND AVE UNIT 1",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051175",
            "telephone_number": "708-274-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 ASHLAND AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051175",
            "telephone_number": "708-274-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBKUS",
        "first_name": "TANIA",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "149.023639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.