Susan Blecha, LCSW
Individual provider Active NPI Clinical Social Worker · Brookfield, IL
NPI 1962129221 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1962129221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149001111 (IL)
- Practice address
- 9019 Southview Ave
Brookfield, IL 60513-2954 - Phone
- (312) 399-8997
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149001111 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perspective Behavioral and Pain Solutions LTD | Multi-Specialty | Current |
Accepting new patients |
Locations
2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277
Interoperability endpoints
- susan.blecha.1@30520.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 149001111 | IL | Yes |
Addresses
Primary practice location
9019 Southview Ave
Brookfield, IL 60513-2954
Mailing address
9019 Southview Ave
Brookfield, IL 60513-2954
Phone (312) 399-8997
Other providers in Brookfield, IL
- Christine Baumann
- Mia F Benker Bierma
- Tyler Bernklau
- Michael Berscheid
- Robert Blackwell
- Brianne Bolin
- Catherine Marie Bradley
- Nicholas Bravo
- British Home for Retired Men and Women
- Brookfield Dental Studio PC
All providers in Brookfield, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.