JENNIFER LYN POLIZZI
NPI 1700559234
Social Worker - Clinical in Glen Ellyn, IL

Active since July 29, 2021Opted out of Medicare · through Feb 1, 2028
800 ROOSEVELT RD STE E220, GLEN ELLYN, IL 60137(773) 645-1211 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2025, Jul 29, 2021 (2 updates tracked since 2021).

About Jennifer Lyn Polizzi NPPES

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

JENNIFER LYN POLIZZI (NPI 1700559234) is an individual clinical provider in Glen Ellyn, Illinois, licensed in Illinois (149008025) and active in the NPI registry since July 2021. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1700559234
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER LYN POLIZZI
Location Address800 ROOSEVELT RD STE E220Glen Ellyn, IL 60137-5868
Mailing Address5705 N Northcott AveChicago, IL 60631-3104 · (847) 331-7945
Sole ProprietorYes
Enumeration DateJuly 29, 2021
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1700559234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149008025
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.

800 ROOSEVELT RD STE E220, Glen Ellyn, IL 60137

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Lyn Polizzi 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 February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

Marriage & Family Therapist
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Clinic/Center (Mental Health (Including Community Mental Health Center))
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Acupuncturist
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Counselor (Professional)
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Counselor (Professional)
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Social Worker (Clinical)
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Counselor (Professional)
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137
Social Worker (Clinical)
800 ROOSEVELT RD STE E220
GLEN ELLYN, IL 60137

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700559234, enumerated as an "individual" on July 29, 2021.

The provider is located at 800 ROOSEVELT RD STE E220 GLEN ELLYN, IL 60137 and the phone number is (773) 645-1211.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.