MINDY JO SHERACK (NPI# 1093736092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093736092 |
| Entity Type | Individual |
| Full Name | MINDY JO SHERACK |
| Credential | LCSW |
| Practice Address |
6006 159th St Oak Forest IL 60452-2904 |
| Mailing Address |
Po Box 468 Oak Lawn IL 60454-0468 |
| Practice Telephone | 7739167107 |
| Mailing Telephone | 7739167107 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149009176 | IL | Behavioral Health & Social Service Providers |
| Street Address |
6006 159TH ST |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922498690 | Mary Ann Andrade-bekker | Counselor | 6006 159th St, Building C, Oak Forest, IL 60452-2904 | 2015-02-02 |
| 1811330087 | Morgan Paige Black | Counselor | 6006 159th St, Bldg C, Oak Forest, IL 60452-2904 | 2013-04-08 |
| 1144570680 | Sarah J Jurkovic | Psychologist | 6006 159th St, Building C, Oak Forest, IL 60452-2904 | 2012-09-12 |
| 1790040665 | Karlette Raeshaun Ford | Occupational Therapy Assistant | 6006 159th St, Oak Forest, IL 60452-2904 | 2012-07-06 |
| 1356600571 | Advance Therapy Consultants, LLC | Developmental Therapist | 6006 159th St, Building-b, 2nd Floor, Oak Forest, IL 60452-2904 | 2012-05-08 |
| 1447580501 | Cassandra Seals | Occupational Therapy Assistant | 6006 159th St, Oak Forest, IL 60452-2904 | 2010-01-12 |
| 1588812366 | Charmaine E Jake-matthews | Counselor | 6006 159th St, Bldg. C, Oak Forest, IL 60452-2904 | 2008-09-04 |
| 1265695928 | Unicare Home Health Services Incorporated | Home Health | 6006 159th St, Building A, Suite 2a, Oak Forest, IL 60452-2904 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| 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 |
|---|---|---|---|---|
| 1609324383 | Christine Gulych | Social Worker | 5744 Lancaster Dr, Oak Forest, IL 60452-2043 | 2016-09-12 |
| 1235528910 | Norman Brown | Social Worker | 14910 Lavergne Ave, Oak Forest, IL 60452-1422 | 2015-01-18 |
| 1902238819 | Margaret Ann Mcclain | Social Worker | 6237 157th Pl, Oak Forest, IL 60452-2711 | 2013-08-01 |
| 1487902185 | Amanda Kaitlyn Labash | Social Worker | 16410 Frontage Rd, Oak Forest, IL 60452 | 2012-08-28 |
| 1528288891 | William Grant Holley | Social Worker | 15601 S Cicero Ave, Suite 103, Oak Forest, IL 60452 | 2007-04-27 |
| 1770700015 | Sherry Ann Petro | Social Worker | 14525 Walden Ct, Oak Forest, IL 60452-1074 | 2007-04-19 |
| 1063442747 | Mark Allen Roy | Social Worker | 5251 147th St Ste 9, Oak Forest, IL 60452-1347 | 2006-07-05 |
| 1629355078 | Laura Lorenz | Social Worker | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2011-11-14 |
| 1902070097 | Ellen M Woodham-johnson | Social Worker | 5320 159th St Ste 100, Oak Forest, IL 60452-3329 | 2008-04-18 |
| 1538371166 | Ronald Shear IIi | Social Worker | 5320 159th St Ste 100, Oak Forest, IL 60452-3329 | 2007-05-04 |
| Find all providers in OAK FOREST | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
Please comment or provide details below to improve the information on MINDY JO SHERACK.
| 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.