SUZANNE MASCORRO LSW
NPI 1770013716
Social Worker in Chicago, IL

Q: What is Suzanne Mascorro's NPI number?

The NPI number for Suzanne Mascorro is 1770013716. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Q: What is Suzanne Mascorro's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Suzanne Mascorro enrolled in Medicare?

No. Suzanne Mascorro has opted out of Medicare through December 4, 2026. 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 Suzanne Mascorro was last updated on June 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 13, 2017Opted out of Medicare · through Dec 4, 2026

4101 N RAVENSWOOD AVE, CHICAGO, IL 60613(773) 572-5500 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suzanne Mascorro Lsw NPPES

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

SUZANNE MASCORRO LSW (NPI 1770013716) is an individual social worker in Chicago, Illinois, licensed in Illinois (150.101771) and active in the NPI registry since June 2017. She has opted out of Medicare through December 4, 2026.

NPPES Registry Identity

NPI1770013716

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSUZANNE MASCORROCredential: LSW

Location Address4101 N RAVENSWOOD AVEChicago, IL 60613-2193

Mailing Address4101 N Ravenswood AveChicago, IL 60613-2193

Phone(773) 572-5500

Sole ProprietorNo

Enumeration DateJune 13, 2017

✔ NPI 1770013716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IL · 150.101771

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

4101 N RAVENSWOOD AVE, Chicago, IL 60613

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Suzanne Mascorro Lsw 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 December 4, 2024 through December 4, 2026.

Opt-Out Effective DateDecember 4, 2024

Opt-Out In Effect ThroughDecember 4, 2026Opt-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.

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. ARTHUR JACEK KRZYZANOWSKI PSY.D.

Psychologist (Clinical)