JAMIE MIROCHA LCSW
NPI 1982080214
Social Worker - Clinical in Plainfield, IL

Q: What is Jamie Mirocha's NPI number?

The NPI number for Jamie Mirocha is 1982080214. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Q: What is Jamie Mirocha's specialty?

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

Q: Is Jamie Mirocha enrolled in Medicare?

No. Jamie Mirocha has opted out of Medicare through August 30, 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 Jamie Mirocha was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 10, 2015Opted out of Medicare · through Aug 30, 2026

24012 W RENWICK RD STE 204A, PLAINFIELD, IL 60544(815) 676-4688(815) 676-4498 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jamie Mirocha Lcsw NPPES

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

JAMIE MIROCHA LCSW (NPI 1982080214) is an individual clinical provider in Plainfield, Illinois, licensed in Illinois (149017464) and active in the NPI registry since August 2015. She has opted out of Medicare through August 30, 2026.

NPPES Registry Identity

NPI1982080214

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJAMIE MIROCHACredential: LCSW

Location Address24012 W RENWICK RD STE 204APlainfield, IL 60544-8733

Mailing Address24012 W Renwick Rd Ste 204aPlainfield, IL 60544-8733 · (815) 676-4688 · Fax (815) 676-4498

Phone(815) 676-4688

Fax(815) 676-4498

Sole ProprietorYes

Enumeration DateAugust 10, 2015

✔ NPI 1982080214 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 · 149017464

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.

24012 W RENWICK RD STE 204A, Plainfield, IL 60544

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jamie Mirocha 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 August 30, 2022 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2022

Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

MR. COREY JAMES WORDEN MA, LCPC

Counselor