JON D HSIEH (LCSW) – Clinical Social Worker, NPI 1124029988

JON D HSIEH (LCSW) is a healthcare provider. based in St charles, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149-010274 (IL). The NPI Number for JON D HSIEH (LCSW) is 1124029988

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JON D HSIEH (LCSW)
NPI
1124029988
Phone
(630) 377-6613
Address
1120 E MAIN ST
Enumeration Date
2 August 2005
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6002918380
Professional Enrollment ID
I20070219000062
Address ID
IL601742287ST1120XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for JON D HSIEH (LCSW)

  • 1120, East Main Street, St. Charles, Kane County, Illinois, 60174, United States

    STE. 201

    ST CHARLES, IL 601742287

    Phone: (630) 377-6613

    Fax: (630) 377-6225

    Type: Mailing

  • 207, East Church Street, Sandwich, DeKalb County, Illinois, 60548, United States

    SUITE A

    SANDWICH, IL 605489803

    Phone: (815) 786-8606

    Fax: (815) 786-1541

    Type: Location

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: 2007-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070219000062IClinical Social WorkerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60174)

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Reviews

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Frequently asked questions

Can I cross-check JON D HSIEH (LCSW) using NPI 1124029988?
NPI 1124029988 belongs to JON D HSIEH (LCSW); compare other details if you need extra assurance.
Is JON D HSIEH (LCSW) still an active registrant?
JON D HSIEH (LCSW) carries an active NPI according to the public dataset.
What kind of doctor is JON D HSIEH (LCSW)?
JON D HSIEH (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is JON D HSIEH (LCSW) registered?
Use St Charles, Illinois as the headline location for JON D HSIEH (LCSW) here.
When was this NPI issued?
Enumeration for JON D HSIEH (LCSW) is noted as August 2, 2005 where the registry provides it.

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