Jenny Mantis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016232 Issued in IL

Practice address

25 E Schaumburg Rd
Suite 106
Schaumburg, IL 60194-3550

Phone

(847) 981-3514

Fax

(847) 230-3787

NPI assigned

Aug 16, 2014

Last updated

Aug 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clarity Clinic Arlington Heights LLCGroup PAC ID 0840558094, 29 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarity Clinic Arlington Heights, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington Heights, IL
  • NPI 1104341999
  Medicare reassignment Care Compare group NPD
• Alexian Brothers Behavioral Health Parish Services

  • Psychiatric Hospital
  • Schaumburg, IL
  • NPI 1194128900
  NPD (past)

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1902205842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "SUITE 106",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943550",
            "telephone_number": "847-981-3514",
            "fax_number": "847-230-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "SUITE 106",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943550",
            "telephone_number": "847-981-3514",
            "fax_number": "847-230-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTIS",
        "first_name": "JENNY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Rose Mangini, MS CCC-SLP
• Zandra Mangler
• Ganapathy Manjunath, DDS
• Rory Manning
• Pravit Marc Mantasoot, LPC
• Ramon P Manuel, COTA/L
• Maple Health Primary Care PLLC
• Mara Pharmacy Inc. (Mara Pharmacy)
• Alexandra S Marek, PTA
• Roxana Marincas, RD, LDN

• Clinical Social Worker in Schaumburg, IL
• Providers in Schaumburg, 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 Aug 16, 2014; 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.