JOHN HURD (LCSW) – Clinical Social Worker, NPI 1194123703

JOHN HURD (LCSW) is a healthcare provider. based in Park ridge, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.016950 (IL). The NPI Number for JOHN HURD (LCSW) is 1194123703

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JOHN HURD (LCSW)
NPI
1194123703
Phone
(847) 692-3183
Address
621 S KNIGHT AVE
Enumeration Date
12 December 2014
Last Update Date
12 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476151698
Graduation Year
2012 (14 years ago)
PAC ID
0345563870
Group Practice PAC ID
6800288754
Professional Enrollment ID
I20150108000424
Address ID
IL600772272SK8707XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JOHN HURD (LCSW)

  • 621 S KNIGHT AVE

    PARK RIDGE, IL 600684405

    Phone: (847) 692-3183

    Mailing address matches the actual address.

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: 2015-01-08

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
I20150108000424IClinical 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
90837Psychotherapy, 1 hour12219$0
90791Psychiatric diagnostic evaluation2018$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 6800288754View full group profile
NameSpecialtyState
Psychiatry, Addiction MedicineIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Marriage And Family TherapistCA
Clinical PsychologistIL

Reviews

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Frequently asked questions

Can I cross-check JOHN HURD (LCSW) using NPI 1194123703?
NPI 1194123703 belongs to JOHN HURD (LCSW); compare other details if you need extra assurance.
Is JOHN HURD (LCSW) shown as active in public data?
Registry records indicate JOHN HURD (LCSW) maintains an active NPI.
What area of care is associated with JOHN HURD (LCSW)?
JOHN HURD (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is JOHN HURD (LCSW) located near Park Ridge?
JOHN HURD (LCSW) currently maps to Park Ridge, Illinois in this extract.
When was this NPI issued?
Enumeration for JOHN HURD (LCSW) is noted as December 12, 2014 where the registry provides it.

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