Jacqueline Marie Tamborski, LCSW,BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11853 Somerset Rd
Orland Park, IL 60467-1424

Phone

(773) 320-3054

Fax

(708) 403-3246

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912037938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 19",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "773-320-3054",
            "fax_number": "708-403-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11853 SOMERSET RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671424",
            "telephone_number": "773-320-3054",
            "fax_number": "708-403-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBORSKI",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Szczesniewski, DPT
• Michal Szczodry, M.D.
• John Tablerion, AOBTA CP
• Deborah Ann Taege, M.S. CCC-SLP/L, ATP
• Khalil Takla, DDS
• Kajal Tandon, OTR
• Renato L Tanquilut, M.D.
• Jin Tao
• Hazel Tapay, PT
• Lamya Tarawneh, PHARMD

• Clinical Social Worker in Orland Park, IL
• Providers in Orland Park, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.