DR. JO ANN PRESTON (PH.D.) – Clinical Social Worker, NPI 1568901312

DR. JO ANN PRESTON (PH.D.) is a healthcare provider. based in Country club hills, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D.. They hold a License No. 149.018283 (IL). The NPI Number for DR. JO ANN PRESTON (PH.D.) is 1568901312

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JO ANN PRESTON (PH.D.)
NPI
1568901312
Phone
(312) 925-7204
Address
4206 179TH ST
Enumeration Date
13 February 2017
Last Update Date
13 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666300966
Graduation Year
2002 (24 years ago)
PAC ID
3678970704
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20210921000203
Address ID
VA235103316NO999XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for DR. JO ANN PRESTON (PH.D.)

  • 4206, 179th Street, Country Club Hills, Bremen Township, Cook County, Illinois, 60478, United States

    COUNTRY CLUB HILLS, IL 604784715

    Phone: (312) 925-7204

    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: 2021-09-21

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
I20210921000203IClinical Social WorkerVATBD

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 60478)

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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: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify DR. JO ANN PRESTON (PH.D.) with an NPI only?
You can start verification with NPI 1568901312 for DR. JO ANN PRESTON (PH.D.), then check state licensing separately.
Does the file indicate DR. JO ANN PRESTON (PH.D.) is practicing under active NPI?
Directory data currently reports DR. JO ANN PRESTON (PH.D.) as active.
What taxonomy line describes DR. JO ANN PRESTON (PH.D.)?
For research purposes, treat DR. JO ANN PRESTON (PH.D.) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JO ANN PRESTON (PH.D.) based?
DR. JO ANN PRESTON (PH.D.) is tied to Country Club Hills, 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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