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MR. JON CHENCINSKI LCSW
NPI 1164581153
Social Worker - Clinical in Chicago, IL

Active since December 06, 2006Opted out of Medicare · through Apr 28, 2028
5209 N CLARK ST, 2M, CHICAGO, IL 60640(773) 858-8061(773) 561-5764 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jon Chencinski Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JON CHENCINSKI LCSW (NPI 1164581153) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since December 2006. He has opted out of Medicare through April 28, 2028.

NPPES Registry Identity

NPI1164581153
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JON CHENCINSKICredential: LCSW
Location Address5209 N CLARK ST, 2MChicago, IL 60640-2101
Mailing Address5209 N Clark St, 2mChicago, IL 60640-2101 · (773) 858-8061 · Fax (773) 561-5764
Phone(773) 858-8061
Fax(773) 561-5764
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164581153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5209 N CLARK ST, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jon Chencinski Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 28, 2026 through April 28, 2028.

Opt-Out Effective DateApril 28, 2026
Opt-Out In Effect ThroughApril 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY SUE LINDBERG MA
Counselor (Mental Health)
5209 N CLARK ST, SECOND FLOOR
CHICAGO, IL 60640
Cook County (773) 761-5328
MR. JOHN WILLIAMS
Social Worker (Clinical)
5209 N CLARK ST, 2ND FLOOR
CHICAGO, IL 60640
Cook County (773) 575-1792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Chencinski's NPI number?

The NPI number for Jon Chencinski is 1164581153. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jon Chencinski located?

Jon Chencinski practices at 5209 N Clark St 2M, Chicago, IL 60640. The listed phone number is (773) 858-8061.

What is Jon Chencinski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jon Chencinski enrolled in Medicare?

No. Jon Chencinski has opted out of Medicare through April 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jon Chencinski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.