Active NPI
Jennifer A. Pfaff, LCSW
- Clinical Social Worker
- Des Plaines, IL
National Provider Identifier
1881603637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014867
- Practice address
- 960 Rand Rd
215
Des Plaines, IL 60016-2352 - Phone
- (847) 699-2100
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149014867 | IL | Primary |
Addresses
Primary practice location
960 Rand Rd
215
Des Plaines, IL 60016-2352
Mailing address
960 Rand Rd
215
Des Plaines, IL 60016-2352
Phone (847) 699-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000618201 | Other | IN | ANTHEM |
| 100270530A | Medicaid | IN |
Other names 1
- Jennifer A. Henk
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
960 Rand Rd
Suite 215
Des Plaines, IL 60016-2355
Phone (847) 699-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014867 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janelle Dimichele, LCSW & Associates, LLC | Clinical | Current | Accepting new patients |
| Cairn Counseling | Current | Accepting new patients | |
| Riverview Hospital | Past | Accepting new patients | |
| Presence Behavioral Health | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Past | Accepting new patients |
Locations
960 Rand Rd
Ste 215
Des Plaines, IL 60016
Phone (847) 699-2100
Organizations & group practices 6
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.
-
- Mental Health Counselor
- Des Plaines, IL
- NPI 1790579142
-
- Clinical Social Worker
- Des Plaines, IL
- NPI 1780745349
-
dba ProCare Centers
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melrose Park, IL
- NPI 1477622298
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
dba University Heights Health & Living Community
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1881603637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 RAND RD",
"address_2": "215",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162352",
"telephone_number": "847-699-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 RAND RD",
"address_2": "215",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162352",
"telephone_number": "847-699-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFF",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000618201",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270530A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HENK",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.