Payal Sud, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014773 Issued in IL

Practice address

116 N Chicago St Ste 304
Joliet, IL 60432-4212

Phone

(708) 308-0453

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2003

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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.

• P S Its Counseling LTD

  • Multi-Specialty Clinic/Center
  • Joliet, IL
  • NPI 1609295724
  Medicare reassignment NPD Authorized official
• Energize Group, Inc

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1295389666
  Medicare reassignment NPD
• Home Psych Services, P.C.

  • Clinical Psychologist
  • Hinsdale, IL
  • NPI 1174821946
  NPD (past)
• Mind Aligned Inc

  • Behavioral Neurology & Neuropsychiatry Physician
  • Libertyville, IL
  • NPI 1508124876
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1851681944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604340596",
            "telephone_number": "708-308-0453",
            "fax_number": "631-498-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N CHICAGO ST STE 304",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324212",
            "telephone_number": "708-308-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUD",
        "first_name": "PAYAL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010843A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Struck, AU.D
• Jessica Stubler
• Heidi Suzanne Stukel, LCPC
• Suburban Gynecology, LLC
• Suburban Sleep and Pulmonary Medicine, SC
• Shamim A Sufi, M.A , LCSW
• Sugni Sukhani, M.D.
• Melissa Anne Sullivan, LCSW
• Jazmin Octavia Summerise, BS, MS.
• Iisha Summers

• Clinical Social Worker in Joliet, IL
• Providers in Joliet, 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 Sep 26, 2024; 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.