MR. JERRY THOMAS SOUTA JR LCSW
NPI 1831259829
Social Worker - Clinical in Melrose Park, IL

Active since December 11, 2006
1414 MAIN ST, MELROSE PARK, IL 60160(708) 681-0073(708) 681-3958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerry Thomas Souta Jr Lcsw NPPES

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

MR. JERRY THOMAS SOUTA JR LCSW (NPI 1831259829) is an individual clinical provider in Melrose Park, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1831259829
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JERRY THOMAS SOUTA JRCredential: LCSW
Location Address1414 MAIN STMelrose Park, IL 60160-3902
Mailing Address21459 W Basswood LnPlainfield, IL 60544-6367 · (815) 483-5188
Fax(708) 681-3958
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1831259829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1414 MAIN ST, Melrose Park, IL 60160

Other Identifiers 2

Medicare ID-Type Unspecified204281IL
Medicare UPINK03765IL

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.

Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Counselor
1414 MAIN ST
MELROSE PARK, IL 60160
Community/Behavioral Health
1414 MAIN ST
MELROSE PARK, IL 60160
Counselor (Professional)
1414 MAIN ST
MELROSE PARK, IL 60160
Behavior Technician
1414 MAIN ST
MELROSE PARK, IL 60160
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160
Counselor (Mental Health)
1414 MAIN ST
MELROSE PARK, IL 60160

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 Jerry Souta Jr's NPI number?

The NPI number for Jerry Souta Jr is 1831259829. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Jerry Souta Jr located?

Jerry Souta Jr practices at 1414 Main St, Melrose Park, IL 60160. The listed phone number is (708) 681-0073.

What is Jerry Souta Jr's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Souta Jr was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.