MR. JERRY THOMAS SOUTA JR (LCSW) – Clinical Social Worker, NPI 1831259829

MR. JERRY THOMAS SOUTA JR (LCSW) is a healthcare provider. based in Plainfield, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. The NPI Number for MR. JERRY THOMAS SOUTA JR (LCSW) is 1831259829

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. JERRY THOMAS SOUTA JR (LCSW)
NPI
1831259829
Phone
(815) 483-5188
Address
21459 W BASSWOOD LN
Enumeration Date
11 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126557167
Graduation Year
2000 (26 years ago)
PAC ID
6608777503
Group Practice PAC ID
3678668795
Professional Enrollment ID
I20040114000661
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MR. JERRY THOMAS SOUTA JR (LCSW)

  • 21459 W BASSWOOD LN

    PLAINFIELD, IL 605446367

    Phone: (815) 483-5188

    Type: Mailing

  • 1414, Main Street, Melrose Park, Proviso Township, Cook County, Illinois, 60160, United States

    MELROSE PARK, IL 601603902

    Phone: (708) 681-0073

    Fax: (708) 681-3958

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 60544)

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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: 3678668795View full group profile
NameSpecialtyState
MEGHAN RYAN
Mental Health CounselorIL
JULIE Y PALUMBO (MSW)
-IL
MS. MARY AMANDA MYERS (LCSW)
-IL
MICHEL LOPEZ TINOCO (MSW)
Clinical Social WorkerIL
DR. DEBORAH RENEE MAJOR (PHD LCSW)
Clinical Social WorkerIL
AARON LEW (LCSW)
-IL
MS. CYNTHIA JEAN WADERLOW (MSE,LCSW)
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Is there an official ID for MR. JERRY THOMAS SOUTA JR (LCSW) in U.S. healthcare records?
The official identifier for MR. JERRY THOMAS SOUTA JR (LCSW) is NPI 1831259829.
Is MR. JERRY THOMAS SOUTA JR (LCSW) still an active registrant?
MR. JERRY THOMAS SOUTA JR (LCSW) carries an active NPI according to the public dataset.
What clinical focus is listed for MR. JERRY THOMAS SOUTA JR (LCSW)?
At a glance, MR. JERRY THOMAS SOUTA JR (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Illinois is MR. JERRY THOMAS SOUTA JR (LCSW) registered?
Use Plainfield, Illinois as the headline location for MR. JERRY THOMAS SOUTA JR (LCSW) here.
Can I trust this NPI listing for MR. JERRY THOMAS SOUTA JR (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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