MR. JEROME J KLINKNER (LCSW) – Clinical Social Worker, NPI 1124273149

MR. JEROME J KLINKNER (LCSW) is a healthcare provider. based in Evanston, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149-007838 (IL). The NPI Number for MR. JEROME J KLINKNER (LCSW) is 1124273149

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEROME J KLINKNER (LCSW)
NPI
1124273149
Phone
(847) 866-9067
Address
305 RIDGE AVE APT 1
Enumeration Date
18 November 2008
Last Update Date
2 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883656271
Graduation Year
1979 (47 years ago)
PAC ID
8527090497
Group Practice PAC ID
2264762681
Professional Enrollment ID
I20050906000738
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JEROME J KLINKNER (LCSW)

  • Ridge Avenue, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602026416

    Phone: (847) 866-9067

    Type: Mailing

  • 6450, North Ridge Boulevard, Rogers Park, Chicago, Rogers Park Township, Cook County, Illinois, 60626, United States

    CHICAGO, IL 606264804

    Phone: (773) 743-8700

    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: 2005-09-06

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
I20050906000738IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes61030$0
90791Psychiatric diagnostic evaluation2323$0
View full utilization report →

Insurance plans in this area (ZIP 60202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264762681View full group profile

Reviews

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Frequently asked questions

Can I verify MR. JEROME J KLINKNER (LCSW) with an NPI only?
You can start verification with NPI 1124273149 for MR. JEROME J KLINKNER (LCSW), then check state licensing separately.
Does CMS list MR. JEROME J KLINKNER (LCSW) as active?
Yes — MR. JEROME J KLINKNER (LCSW) is active in the NPI listing used on this page.
What taxonomy line describes MR. JEROME J KLINKNER (LCSW)?
For research purposes, treat MR. JEROME J KLINKNER (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. JEROME J KLINKNER (LCSW) based?
MR. JEROME J KLINKNER (LCSW) is tied to Evanston, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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