EDIE SUE SUTKER (NPI# 1013041086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013041086 |
| Entity Type | Individual |
| Full Name | EDIE SUE SUTKER |
| Credential | LCSW |
| Practice Address |
255 Revere Dr Northbrook IL 60062-1564 |
| Practice Telephone | 8474124350 |
| Mailing Telephone | 8474124350 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149-011092 | IL | Behavioral Health & Social Service Providers |
| Street Address |
255 REVERE DR |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639202401 | Amy P Pollack | Occupational Therapist | 255 Revere Dr, Suite 100, Northbrook, IL 60062-1564 | 2007-03-13 |
| 1275015232 | Valerie Ann Steinhauser | Speech-Language Pathologist | 255 Revere Dr, Northbrook, IL 60062-1564 | 2018-09-05 |
| 1578009536 | Jessica Coon | Social Worker | 255 Revere Dr, Suite 200, Northbrook, IL 60062-1564 | 2017-01-16 |
| 1750749834 | Yehudis Friedman | Student in an Organized Health Care Education/Training Program | 255 Revere Dr, Northbrook, IL 60062-1564 | 2016-02-04 |
| 1972904332 | Aaron Petersen | Social Worker | 255 Revere Dr, Northbrook, IL 60062-1564 | 2014-09-04 |
| 1497178909 | Jewish Child & Family Services | Community/Behavioral Health | 255 Revere Dr, Northbrook, IL 60062-1564 | 2014-02-04 |
| 1174955728 | Melissa Lorin | Occupational Therapist | 255 Revere Dr, Ste 200, Northbrook, IL 60062-1564 | 2013-08-06 |
| 1184965352 | Haley Bartz | Occupational Therapist | 255 Revere Dr, Northbrook, IL 60062-1564 | 2013-03-12 |
| 1457605420 | Gabrielle Granoff | Psychologist | 255 Revere Dr, Northbrook, IL 60062-1564 | 2012-10-30 |
| 1093063109 | Abby Lampos | Occupational Therapist | 255 Revere Dr, Northbrook, IL 60062-1564 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627142 | Elisa Tolle | Social Worker | 4142 Bordeaux Dr, Northbrook, IL 60062-2100 | 2020-04-07 |
| 1275166480 | Prospection Counseling LLC | Social Worker | 3005 Macarthur Blvd Ste 207, Northbrook, IL 60062-1901 | 2020-02-16 |
| 1528600178 | Leigh Neiman Weisz, PC | Social Worker | 450 Skokie Blvd Ste 503, Northbrook, IL 60062-7913 | 2019-10-15 |
| 1790347763 | Paula Alexander | Social Worker | 950 Skokie Blvd Ste 305, Northbrook, IL 60062-4018 | 2019-06-30 |
| 1417418617 | Lauren Raphael Lcsw LLC | Social Worker | 1935 Shermer Rd Ste 240, Northbrook, IL 60062-5354 | 2019-03-29 |
| 1073081709 | Julia C Fording, Lcsw, LLC | Social Worker | 601 Skokie Blvd Ste 207, Northbrook, IL 60062-2818 | 2018-11-12 |
| 1013403518 | Abby Merel | Social Worker | 604 Academy Dr, Northbrook, IL 60062-2421 | 2018-07-08 |
| 1609379940 | Tammy Chatterton | Social Worker | 1955 Raymond Dr Ste 102, Northbrook, IL 60062-6731 | 2018-03-13 |
| 1780187443 | Leigh Stein | Social Worker | 155 Revere Dr Ste 8, Northbrook, IL 60062-1558 | 2018-03-08 |
| 1669980462 | Betty Ellen Lazar | Social Worker | 736 York Ct, Northbrook, IL 60062-3955 | 2018-01-14 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.