JILLU PANAVELIL MATHEW (NPI# 1730628793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730628793 |
| Entity Type | Individual |
| Full Name | JILLU PANAVELIL MATHEW |
| Other Name | JILLU PANAVELIL |
| Practice Address |
119 Blackhawk Ct Unit 5 Wood Dale IL 60191-2813 |
| Practice Telephone | 2015275309 |
| Mailing Telephone | 2015275309 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.020218 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 453 Broad Ave, Leonia, NJ 076051601 | 2015275309 |
| Street Address |
119 BLACKHAWK CT UNIT 5 |
| City | WOOD DALE |
| State | IL |
| Zip Code | 60191-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402425 | Linda Jenig | Taxi | 230 Thomas Drive, 10000 Dale, IL 60191 | 2018-10-04 |
| 1023412913 | Nell N Griffin | Licensed Practical Nurse | 473 Jeanne Court, Apartment 3, Wood Dale, IL 60191 | 2014-10-21 |
| 1467881086 | Norma Barajas | Interpreter | 309 Charmille Lane, Wood Dale, IL 60191 | 2013-11-04 |
| 1013283985 | Donald C. Kellner Dds-wood Dale PC | Dentist | 333 North Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2012-03-26 |
| 1326299892 | Dr. Donald Kellner & Associates | Dentist | 333 N. Wood Dale Rd., Wood Dale, IL 60191 | 2008-10-02 |
| 1235337841 | Wood Dale Dental Ltd | Dentist | 142 W Irving Park Rd, Wood Dale, IL 60191 | 2007-07-05 |
| 1457552044 | Lyra Repplinger | Developmental Therapist | 180 Hansen Court, Wood Dale, IL 60191 | 2007-05-30 |
| 1033289855 | Qirjako Kirk Hoda | Chiropractor | 404 W Irving Park Road, Suite #1, Wood Dale, IL 60191 | 2006-11-09 |
| 1881783199 | Dominic J Tolitano, Md Sc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 311 N. Walnut Ave, Suite 100, Wood Dale, IL 60191 | 2006-10-12 |
| 1417058405 | Donald Craig Kellner | Dentist | 333 N Wood Dale Rd, Suite A, Wood Dale, IL 60191 | 2006-09-25 |
| Find all providers in zip 60191 | ||||
| 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 |
|---|---|---|---|---|
| 1043830771 | Robert A Lasica | Social Worker | 144 Spring Oaks Dr, Wood Dale, IL 60191-2243 | 2020-04-22 |
| 1861844672 | Jodi L Venziano | Social Worker | 238 E Irving Park Rd, 306, Wood Dale, IL 60191-3005 | 2016-07-05 |
| 1952787673 | Anne-jessica Steed | Social Worker | 407 E Deerpath Rd, Wood Dale, IL 60191-3301 | 2015-08-04 |
| 1083245518 | Peace Point Therapy LLC | Social Worker | 407 E Deerpath Rd, Wood Dale, IL 60191-3301 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851241 | Courtney A Behrens | Social Worker | 150 Deerpath Rd, Algonquin, IL 60102-1861 | 2020-11-06 |
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1174124036 | Reginald Washington Edwards | Social Worker | 18660 Walnut Ave, Country Club Hills, IL 60478-5549 | 2020-11-05 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1801496468 | Monica Dushane | Social Worker | 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 | 2020-10-31 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1598365488 | Karyssa Lee Haase | Social Worker | 745 E Court St, Paris, IL 61944-2460 | 2020-10-29 |
| 1699375592 | Andrea Doherty | Social Worker | 526 Keystone Ave, River Forest, IL 60305-1612 | 2020-10-29 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.