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MR. JEFFREY JOSEPH SHORE MSW LCSW
NPI 1194817148
Social Worker - Clinical in Chicago, IL

Active since September 28, 2006Opted out of Medicare · through Sep 1, 2027
55 E WASHINGTON, SUITE 2700, CHICAGO, IL 60602(312) 782-3888(312) 782-2901 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey Joseph Shore Msw Lcsw NPPES

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

MR. JEFFREY JOSEPH SHORE MSW LCSW (NPI 1194817148) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since September 2006. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194817148
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEFFREY JOSEPH SHORECredential: MSW LCSW
Location Address55 E WASHINGTON, SUITE 2700Chicago, IL 60602
Mailing Address55 E Washington, Suite 2700Chicago, IL 60602 · (312) 782-3888 · Fax (312) 782-2901
Phone(312) 782-3888
Fax(312) 782-2901
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194817148 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.
55 E WASHINGTON, Chicago, IL 60602
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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. Jeffrey Joseph Shore Msw 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 September 1, 2015 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2015
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. JOAN PHYLLIS GOLDSTEIN DDS
Dentist
55 E WASHINGTON, #2902
CHICAGO, IL 60602
Cook County (312) 263-2447
DR. NANCY S RAY DDS
Dentist (General Practice)
55 E WASHINGTON, #2600
CHICAGO, IL 60602
Cook County (312) 726-5007
PARTNERS FOR CHANGE LLC
Social Worker (Clinical)
55 E WASHINGTON, SUITE 2700
CHICAGO, IL 60602
Cook County (312) 782-3888
SHARON L PIETRZAK & ASSOC INC
Counselor
55 E WASHINGTON, SUITE 621 PITTSFIELD BUILDING
CHICAGO, IL 60602
Cook County (708) 293-0070

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 Jeffrey Shore's NPI number?

The NPI number for Jeffrey Shore is 1194817148. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jeffrey Shore located?

Jeffrey Shore practices at 55 E Washington Suite 2700, Chicago, IL 60602. The listed phone number is (312) 782-3888.

What is Jeffrey Shore's specialty?

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

Is Jeffrey Shore enrolled in Medicare?

No. Jeffrey Shore has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Shore 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.