JENNIFER NOONAN (LCSW) – Clinical Social Worker, NPI 1386645331
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,711 CLINICAL SOCIAL WORKER in IN
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Provider Addresses for JENNIFER NOONAN (LCSW)
PO BOX 746715
ATLANTA, GA 303746715
Phone: (773) 352-1515
Fax: (312) 929-0373
Type: Mailing
4900, Broadway, Glen Park, Gary, Lake County, Indiana, 46408, United States
GARY, IN 464084605
Phone: (219) 237-5170
Fax: (219) 321-1931
Type: Location
4221 Asheville Hwy
Knoxville, TN 379143508
Phone: (865) 392-7264
Type: Location
208 Legends Ln Ste 160
Lexington, KY 405053287
Phone: (859) 201-9870
Type: Location
1200, West Monroe Street, Greektown, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60607, United States
CHICAGO, IL 606032420
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041004000426 | I | Clinical Social Worker | IN | TBD |
| I20230704000399 | I | Clinical Social Worker | IL | TBD |
| I20241010003104 | I | Clinical Social Worker | TN | TBD |
| I20250205000167 | I | Clinical Social Worker | LA | TBD |
| I20250721001939 | I | Clinical Social Worker | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | WA | |
| - | IL | |
| Family Practice | IL | |
| Family Practice | TN | |
| Internal Medicine | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine, Geriatric Medicine | TN |
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