Individual provider Active NPI

John Joseph Parquette, LCSW

  • Clinical Social Worker
  • Lake Zurich, IL
National Provider Identifier
1912458084
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.006512 Issued in IL
Practice address
1 Golfview Rd
Lake Zurich, IL 60047-1210
Phone
(847) 726-2400
Fax
(847) 726-2409
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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 149.006512 IL Primary

Addresses

Primary practice location

1 Golfview Rd
Lake Zurich, IL 60047-1210

Mailing address

3328 Highland Dr
Island Lake, IL 60042-9534
Phone (815) 245-9556

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
I20200514000115 IL Practitioner - Clinical Social Worker 4082045612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clocktower Psychological Associates LTDGroup PAC ID 5991885675, 5 clinicians

Practice addresses (Care Compare)

1 Golfview Rd
Lake Zurich, IL 60047-1210
Phone (847) 726-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.006512ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clocktower Psychological Associates, LTD. CurrentSince Jan 26, 2020 Accepting new patients
Hanover Township Youth and Family Service Past Accepting new patients

Locations

1 Golfview Rd
Ste 1
Lake Zurich, IL 60047
Phone (224) 639-3246

1 Golfview Rd
Ste 4
Lake Zurich, IL 60047
Phone (847) 726-1400

Organizations & group practices 2

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577577600000",
    "number": "1912458084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 HIGHLAND DR",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429534",
            "telephone_number": "815-245-9556",
            "fax_number": "847-726-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GOLFVIEW RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471210",
            "telephone_number": "847-726-2400",
            "fax_number": "847-726-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARQUETTE",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.