Suzanne Catherine Pecoraro, M.ED, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149005057 Issued in IL

Practice address

6771 N Olmsted Ave Apt 1N
Chicago, IL 60631-1294

Phone

(773) 706-0038

NPI assigned

Nov 10, 2014

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)

Not enrolled

Credentials

Master of Education, Master of Arts

State licenses

Practice roles

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.

• Life Fulfillment Consultants, LLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1700528742
  NPD Authorized official

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1992101547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 N OLMSTED AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311294",
            "telephone_number": "773-706-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 N OLMSTED AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311294",
            "telephone_number": "773-706-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "SUZANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "M.ED, MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Peck, APRN, CNP
• Melissa Peck
• Amanda Christine Peclat-Begin
• Kristina M Pecora, PSY.D.
• Alexandria Anne Pecoraro, MD
• Paul Jacob Pecorin, MD
• Andrew Pecson
• Lori Jo Peculis
• Shilpa Pedapati, M.D
• Radhika Peddinti

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Apr 11, 2022; 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.