JARRED LYNN FITCH LCSW
NPI 1750082962
Social Worker - Clinical in Chicago, IL

Q: What is Jarred Fitch's NPI number?

The NPI number for Jarred Fitch is 1750082962. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Q: What is Jarred Fitch's specialty?

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

Q: Is Jarred Fitch enrolled in Medicare?

No. Jarred Fitch has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jarred Fitch was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 14, 2023Opted out of Medicare · through May 18, 2028

5215 N CALIFORNIA AVE STE F101, CHICAGO, IL 60625(773) 561-5809 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jarred Lynn Fitch Lcsw NPPES

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

JARRED LYNN FITCH LCSW (NPI 1750082962) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.025391) and active in the NPI registry since March 2023. He has opted out of Medicare through May 18, 2028.

NPPES Registry Identity

NPI1750082962

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJARRED LYNN FITCHCredential: LCSW

Location Address5215 N CALIFORNIA AVE STE F101Chicago, IL 60625-0035

Mailing Address5215 N California Ave Ste F101Chicago, IL 60625-0035 · (773) 561-5809

Phone(773) 561-5809

Sole ProprietorYes

Enumeration DateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1750082962 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 · 149.025391

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.

5215 N CALIFORNIA AVE STE F101, Chicago, IL 60625

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jarred Lynn Fitch 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 May 18, 2026 through May 18, 2028.

Opt-Out Effective DateMay 18, 2026

Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

MARIA DUDA LCSW

Social Worker (Clinical)