JILL DEROSE (NPI# 1679932503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679932503 |
| Entity Type | Individual |
| Full Name | JILL DEROSE |
| Credential | LCSW |
| Practice Address |
1440 Renaissance Dr Suite 320 Park Ridge IL 60068-1356 |
| Practice Telephone | 8477599110 |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2016-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149016519 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1440 RENAISSANCE DR SUITE 320 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518983998 | Pediatric Urology Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2006-07-15 |
| 1144859885 | Brianna Hewett | Social Worker | 1440 Renaissance Dr, Park Ridge, IL 60068-1356 | 2020-04-04 |
| 1518318690 | Scott Lutostanski | Counselor | 1440 Renaissance Dr, Suite 440, Park Ridge, IL 60068-1356 | 2016-06-29 |
| 1134580426 | Erik R. Benson, Lcsw, Inc. | Social Worker | 1440 Renaissance Dr, Suite 250, Park Ridge, IL 60068-1356 | 2016-03-14 |
| 1982065637 | Ariel Groner | Social Worker | 1440 Renaissance Dr, Suite 320, Park Ridge, IL 60068-1356 | 2016-03-09 |
| 1205295946 | Ann Torres | Social Worker | 1440 Renaissance Dr, Suite 320, Park Ridge, IL 60068-1356 | 2016-02-22 |
| 1316310956 | Dimitrina Vizinas Ltd | Acupuncturist | 1440 Renaissance Dr, Ste 300, Park Ridge, IL 60068-1356 | 2015-11-04 |
| 1629455977 | Family Tree Chiropractic Inc | Chiropractor | 1440 Renaissance Dr, Suite 120, Park Ridge, IL 60068-1356 | 2015-05-06 |
| 1487929345 | Cindi-marie Dingman Willoughby | Psychologist | 1440 Renaissance Dr, Suite 125, Park Ridge, IL 60068-1356 | 2012-03-12 |
| 1376810614 | Whitney Leigh Fandel | Chiropractor | 1440 Renaissance Dr, Ste 120, Park Ridge, IL 60068-1356 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| 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 |
|---|---|---|---|---|
| 1629680707 | Linda Young | Social Worker | 1520 S Prospect Ave, Park Ridge, IL 60068-5349 | 2020-08-19 |
| 1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
| 1154883684 | Garrett Russell Pluhar-schaeffer | Social Worker | 1440 Renaissance Dr Ste 340, Park Ridge, IL 60068-1471 | 2019-04-03 |
| 1942764196 | Lindsay Recsetar | Social Worker | 929 S Greenwood Ave, Park Ridge, IL 60068-4543 | 2019-01-22 |
| 1609357656 | Jessica Lydia Tsougranis | Social Worker | 9 King Rd, Park Ridge, NJ 07656-2222 | 2018-08-28 |
| 1205225877 | Jorge Becerra | Social Worker | 114 Kinderkamack Rd, Park Ridge, NJ 07656-2126 | 2015-01-20 |
| 1194123703 | John Hurd | Social Worker | 621 S Knight Ave, Park Ridge, IL 60068-4405 | 2014-12-12 |
| 1801144530 | Kay G Levin | Social Worker | 1775 Ballard Road, Park Ridge, IL 60068 | 2012-08-28 |
| 1609149780 | Katherine Sikich | Social Worker | 1580 N Northwest Hwy Ste 224, Park Ridge, IL 60068-1468 | 2012-02-20 |
| 1992020283 | Patrick Breece O'donnell | Social Worker | 2212 Habberton Ave, Park Ridge, IL 60068-1740 | 2010-03-30 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.