Individual provider Active NPI

Jennifer A. Pfaff, LCSW

  • Clinical Social Worker
  • Des Plaines, IL
National Provider Identifier
1881603637
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014867 Issued in IL
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

Updated by the provider on Sep 29, 2015

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 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

IdentifierTypeStateIssuer
000000618201OtherINANTHEM
100270530AMedicaidIN

Other names 1

  • Jennifer A. Henk Former name

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
I20120329000394 IL Practitioner - Clinical Social Worker 2163574013 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
149014867ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janelle Dimichele, LCSW & Associates, LLC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Cairn Counseling CurrentSince May 6, 2025 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.

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

Verify at the official NPI Registry.