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JACK GORDON LCSW
NPI 1750735510
Social Worker - Clinical in North Chicago, IL

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
3001 GREEN BAY RD, BUILDING 66, NORTH CHICAGO, IL 60064(224) 475-1279 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jack Gordon Lcsw NPPES

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

JACK GORDON LCSW (NPI 1750735510) is an individual clinical provider in North Chicago, Illinois, licensed in Illinois (149018407) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750735510
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK GORDONCredential: LCSW
Location Address3001 GREEN BAY RD, BUILDING 66North Chicago, IL 60064-3048
Mailing Address3001 Green Bay Rd, Building 66North Chicago, IL 60064-3048 · (224) 475-1279
Phone(224) 475-1279
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 19, 2016
✔ NPI 1750735510 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 · 149018407
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.
3001 GREEN BAY RD, North Chicago, IL 60064
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Gordon Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244595841
PECOS Enrollment IDI20180601000929
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jack Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherry Hill Associates, LLC
14 mi
Clinical
61 S OLD RAND RD
Lake Zurich, IL 60047
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group
NPI 1225277668 (847) 438-4222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
258 services24 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
25 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 20

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

DR. PHILIP CYRUS FANAPOUR DO
Anesthesiology (Critical Care Medicine)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-1900
MR. BIJU CHERIAN PA-C
Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Lake County (224) 610-8201
GAGANDEEP SINGH GROVER MD
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SARA ELISE RINGLE RN
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (810) 494-1587
NEELPREET TOOR DO
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
BRANDON FLERES
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
SEMYON SHULMAN
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 688-1900
MS. SHIRLEY ANN HOFFMAN MSW
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (224) 610-5901

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 Jack Gordon's NPI number?

The NPI number for Jack Gordon is 1750735510. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Jack Gordon located?

Jack Gordon practices at 3001 Green Bay Rd Building 66, North Chicago, IL 60064. The listed phone number is (224) 475-1279.

What is Jack Gordon's specialty?

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

Is Jack Gordon enrolled in Medicare?

Yes. Jack Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jack Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Gordon reassigns Medicare benefits to Cherry Hill Associates, LLC (Lake Zurich, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Gordon accept?

Health plans from Oscar Health and UnitedHealthcare list Jack Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Gordon was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.