Individual provider Active NPI

Sharon Therese Petzel, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
National Provider Identifier
1891864674
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149002413 Issued in IL
Practice address
9352 S 52ND Ave
Oak Lawn, IL 60453-2447
Phone
(847) 894-7070
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 149002413 IL Primary

Addresses

Primary practice location

9352 S 52ND Ave
Oak Lawn, IL 60453-2447

Mailing address

9352 S 52ND Ave
Oak Lawn, IL 60453-2447
Phone (847) 894-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2020 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1891864674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9352 S 52ND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532447",
            "telephone_number": "847-894-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9352 S 52ND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532447",
            "telephone_number": "847-894-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZEL",
        "first_name": "SHARON",
        "middle_name": "THERESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.