JESSICA ANN OSULLIVAN (LCSW) – Clinical Social Worker, NPI 1376318402

JESSICA ANN OSULLIVAN (LCSW) is a healthcare provider. based in Alsip, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.025757 (IL). The NPI Number for JESSICA ANN OSULLIVAN (LCSW) is 1376318402

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANN OSULLIVAN (LCSW)
NPI
1376318402
Phone
(708) 704-8610
Address
5936 W. 125TH PLACE
Enumeration Date
20 November 2023
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086288000
Graduation Year
2020 (6 years ago)
PAC ID
5092167619
Group Practice PAC ID
1355728353
Professional Enrollment ID
I20260105002348
Address ID
IL604622564OR9501XPLXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JESSICA ANN OSULLIVAN (LCSW)

  • 5936 W. 125TH PLACE

    ALSIP, IL 608036080

    Phone: (708) 704-8610

    Type: Mailing

  • 9501 W 144TH PL STE 304

    ORLAND PARK, IL 604622564

    Phone: (708) 704-8610

    Type: Location

  • 5936 W 125th Pl

    Alsip, IL 608033512

    Phone: (708) 704-8610

    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: 2026-01-05

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
I20260105002348IClinical 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 60803)

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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: 1355728353View full group profile
NameSpecialtyState
Clinical Social WorkerNC
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Marriage And Family TherapistIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is there an official ID for JESSICA ANN OSULLIVAN (LCSW) in U.S. healthcare records?
The official identifier for JESSICA ANN OSULLIVAN (LCSW) is NPI 1376318402.
Is there an active status for JESSICA ANN OSULLIVAN (LCSW)?
For scheduling context, JESSICA ANN OSULLIVAN (LCSW) is shown as active in the registry.
What area of care is associated with JESSICA ANN OSULLIVAN (LCSW)?
JESSICA ANN OSULLIVAN (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is JESSICA ANN OSULLIVAN (LCSW) located near Alsip?
JESSICA ANN OSULLIVAN (LCSW) currently maps to Alsip, Illinois in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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