JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) – Clinical Social Worker, NPI 1043749310

JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW, ASDCS, TIYT. They hold a License No. 21219 (OK). The NPI Number for JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) is 1043749310

Main info

Organization
Sole Proprietor
Name
JAQ L ZUIDEMA (LCSW, ASDCS, TIYT)
NPI
1043749310
Phone
(918) 558-0338
Address
4000 W MONTROSE AVE # 790
Enumeration Date
8 June 2017
Last Update Date
14 May 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for JAQ L ZUIDEMA (LCSW, ASDCS, TIYT)

  • 4000 W MONTROSE AVE # 790

    CHICAGO, IL 606412140

    Phone: (918) 558-0338

    Type: Location

  • 11113, South 107th East Avenue, Bixby, Tulsa County, Oklahoma, 74008, United States

    BIXBY, OK 740082810

    Phone: (918) 927-4271

    Type: Mailing

  • 307 W KNOXVILLE ST

    BROKEN ARROW, OK 740125361

    Phone: (918) 927-4271

    Type: Mailing

  • 2121 S 125TH EAST AVE STE 106

    TULSA, OK 741295800

    Phone: (918) 574-8442

    Type: Location

  • 8263 S HARVARD AVE # 1015

    TULSA, OK 741371614

    Phone: (918) 558-0338

    Type: Mailing

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 60641)

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Reviews

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Frequently asked questions

How is JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) identified in CMS data?
CMS-hosted NPPES data lists JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) with NPI 1043749310.
Is JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) listed as active for patients and plans?
The listing shows JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) as active in the NPI system.
What is JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) best known for clinically?
Directory data describes JAQ L ZUIDEMA (LCSW, ASDCS, TIYT) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for JAQ L ZUIDEMA (LCSW, ASDCS, TIYT)?
JAQ L ZUIDEMA (LCSW, ASDCS, TIYT)'s geographic hint is Chicago, Illinois in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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