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MR. JERMAINE ANTHONY SR. LCSW,CRADC, DOT-SAP
NPI 1811435027
Social Worker - Clinical in Merrillville, IN

Active since February 08, 2017PECOS Enrolled
8892 LOUISANA STREET, SUITE D-2, MERRILLVILLE, IN 46410(630) 677-0450(314) 431-6420 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2020, Feb 8, 2017 (2 updates tracked since 2017).

About Mr. Jermaine Anthony Sr. Lcsw,cradc, Dot-sap NPPES

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

MR. JERMAINE ANTHONY SR. LCSW,CRADC, DOT-SAP (NPI 1811435027) is an individual clinical provider in Merrillville, Indiana, licensed in Illinois (149.028647) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811435027
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JERMAINE ANTHONY SR.Credential: LCSW,CRADC, DOT-SAP
Location Address8892 LOUISANA STREET, SUITE D-2Merrillville, IN 46410-4641
Mailing AddressPo Box 2964East Chicago, IN 46312-7964 · (630) 677-0450 · Fax (314) 431-6420
Phone(630) 677-0450
Fax(314) 431-6420
Sole ProprietorYes
Enumeration DateFebruary 8, 2017
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1811435027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.028647
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 31221 (IL)
8892 LOUISANA STREET, SUITE D-2, Merrillville, IN 46410
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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 (PECOS)

Mr. Jermaine Anthony Sr. Lcsw,cradc, Dot-sap is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jermaine Anthony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
49 mi
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
NPI 1295914646 (630) 428-7890

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Jermaine Anthony's NPI number?

The NPI number for Jermaine Anthony is 1811435027. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Jermaine Anthony located?

Jermaine Anthony practices at 8892 Louisana Street, Suite D-2, Merrillville, IN 46410. The listed phone number is (630) 677-0450.

What is Jermaine Anthony's specialty?

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

Is Jermaine Anthony enrolled in Medicare?

Yes. Jermaine Anthony is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jermaine Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jermaine Anthony reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, 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 Jermaine Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jermaine Anthony accept?

Health plans from Oscar Health and UnitedHealthcare list Jermaine Anthony 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 Jermaine Anthony was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.