JONATHAN HANDRUP – Social Worker, NPI 1295306322

JONATHAN HANDRUP is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 150105239 (IL). The NPI Number for JONATHAN HANDRUP is 1295306322

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN HANDRUP
NPI
1295306322
Phone
(312) 498-9460
Address
1061 W 16TH ST APT 411
Enumeration Date
9 July 2021
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7734721483
Graduation Year
2020 (6 years ago)
PAC ID
4688079080
Group Practice PAC ID
5294709887
Professional Enrollment ID
I20210824000496
Address ID
IL606576183CH2800XRDXX407
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JONATHAN HANDRUP

  • 1061 W 16TH ST APT 411

    CHICAGO, IL 606082863

    Phone: (312) 498-9460

    Type: Mailing

  • 225 E DEERPATH

    LAKE FOREST, IL 600451952

    Phone: (847) 796-6400

    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: 2021-08-24

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
I20210824000496IClinical 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 60608)

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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: 5294709887View full group profile
NameSpecialtyState
Nurse PractitionerIL
P S Y C H I A T R YIL
Nurse PractitionerIL
Clinical Social WorkerIL
Certified Clinical Nurse Specialist (Cns)IL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN HANDRUP?
The federal identifier for JONATHAN HANDRUP is NPI 1295306322.
Is JONATHAN HANDRUP active in the national directory?
JONATHAN HANDRUP's public NPI profile is in an active state.
Does JONATHAN HANDRUP list a primary specialty?
If you are matching referrals, note Social Worker for JONATHAN HANDRUP. Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN HANDRUP?
The page summarizes Chicago, Illinois for JONATHAN HANDRUP; expand the address list for detail.
Is JONATHAN HANDRUP a real provider?
This page reflects official NPPES data for NPI 1295306322. Always confirm identity and privileges with the practice and licensing boards.

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