JENNIFER DICOSTANZO – Clinical Social Worker, NPI 1487072070

Clinical Social Worker

JENNIFER DICOSTANZO is a healthcare provider. based in Glendale heights, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 30755 (IL). The NPI Number for JENNIFER DICOSTANZO is 1487072070

Main info

Female

13 Years Of Experience

Accepts Medicare Assignment

Name

JENNIFER DICOSTANZO

NPI

1487072070

Phone

(630) 973-8583

Address

1586 LIBERTY DR

Enumeration Date

1 April 2014

Last Update Date

18 January 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3313054464

Graduation Year

2013 (13 years ago)

PAC ID

7315237435

Group Practice PAC ID

0648643973

Professional Enrollment ID

I20160602000263

Address ID

IL605552808WA29XXXRDXX401

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness75

Years active:12State licenses:2Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JENNIFER DICOSTANZO

1586 LIBERTY DR
GLENDALE HEIGHTS, IL 601391422
Phone: (630) 973-8583
Type: Mailing
111 N COUNTY FARM RD
WHEATON, IL 601873977
Phone: (630) 221-7675
Type: Location
1080 SERENDIPITY DR
AURORA, IL 605044737
Phone: (630) 973-8583
Type: Mailing
1755 PARK ST STE 200
NAPERVILLE, IL 605638404
Phone: (331) 305-4464
Fax: (630) 381-8556
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: 2016-06-02

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20160602000263	I	Clinical Social Worker	IL	TBD

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 60139)

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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: 0648643973View full group profile