MR. JEROME J KLINKNER (NPI# 1124273149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124273149 |
| Entity Type | Individual |
| Full Name | MR. JEROME J KLINKNER |
| Credential | LCSW |
| Practice Address |
6450 N Ridge Blvd Chicago IL 60626-4804 |
| Mailing Address |
305 Ridge Ave Apt 1 Evanston IL 60202-6416 |
| Practice Telephone | 7737438700 |
| Mailing Telephone | 8478669067 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149-007838 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE, PROVIDER ID, PROVIDER IN A GROUP | K20147 | 01 |
| Street Address |
6450 N RIDGE BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60626-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366456261 | Ridgeview Rehab & Nursing Center LLC | Skilled Nursing Facility | 6450 N Ridge Blvd, Chicago, IL 60626-4804 | 2006-07-28 |
| 1356976260 | Aperion Care West Ridge LLC | Durable Medical Equipment & Medical Supplies | 6450 N Ridge Blvd, Chicago, IL 60626-4804 | 2020-03-11 |
| 1699315820 | Aperion Care West Ridge LLC | Skilled Nursing Facility | 6450 N Ridge Blvd, Chicago, IL 60626-4804 | 2020-01-15 |
| 1972602738 | Garden View Home, Inc. | Skilled Nursing Facility | 6450 N Ridge Blvd, Chicago, IL 60626-4804 | 2006-09-21 |
| 1821005844 | Ridgeview Rehab & Nursing Center, LLC | Skilled Nursing Facility | 6450 N Ridge Blvd, Chicago, IL 60626-4804 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116390 | Rebecca Powers | Physical Therapist | 1214 West Loyola Court, Chicago, IL 60626 | 2020-08-25 |
| 1699307918 | Trilogy, Inc. | Clinic/Center | 1763 W. Estes Avenue, Chicago, IL 60626 | 2020-02-05 |
| 1134617236 | Trilogy Inc. | Community/Behavioral Health | 7474 N Paulina St, Chicago, IL 60626 | 2018-04-25 |
| 1891203477 | Natalie Cerda | Specialist/Technologist | 6526 North Winthrop, Chicago, IL 60626 | 2018-01-17 |
| 1841709136 | Jennifer Browse | Speech-Language Pathologist | 7101 N. Greenview, Chicago, IL 60626 | 2017-09-29 |
| 1922526292 | Bill Johnson | Psychologist | 1712 W Estes Avenue Unit 109, Chicago, IL 60626 | 2017-09-06 |
| 1326580333 | Zackary Charles Davis | Specialist/Technologist | 6526 N. Winthrop Avenue, Chicago, IL 60626 | 2016-11-08 |
| 1053772913 | Devon Migues | Counselor | 6710 N Hermitage Ave, 1, Chicago, IL 60626 | 2016-03-18 |
| 1457718124 | Carol L. Marshall | Social Worker | 7231 1/2 N. Sheridan Rd, Chicago, IL 60626 | 2016-01-26 |
| 1972948206 | Donna Darcell Smith | Counselor | 1401 West Jarvis Ave., #2e, Chicago, IL 60626 | 2013-04-30 |
| Find all providers in zip 60626 | ||||
| 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 |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
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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.