Amy Lynn Sertich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014376 Issued in IL

Practice address

14255 Cicero Ave
Crestwood, IL 60418-2154

Phone

(708) 371-0400

NPI assigned

Mar 7, 2019

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

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 and National Provider Directory roles.

• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1952869091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 PARADISE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626662",
            "telephone_number": "708-574-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14255 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604182154",
            "telephone_number": "708-371-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERTICH",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Ruschke, APRN
• Safeway Inc (Dominicks)
• Ashley Sage, MS BCBA
• Linda Louise Scarnavack
• Sandra Selakovich
• Jeraldene Shaffer, NP
• Zuwena Shavers, PHARMD
• Sheehan Behavioral Consultants LLC
• Faisel Shehadeh, DMD
• Kamo G Sidhwa, MD

• Clinical Social Worker in Crestwood, IL
• Providers in Crestwood, 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 Feb 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.