Jaq L Zuidema, LCSW, ASDCS, TIYT is a
Social Worker - Clinical based in Chicago, Illinois. Jaq L Zuidema is licensed to practice in Illinois (license number 149.028001) and current practice location is
4000 W Montrose Ave # 790, Chicago, Illinois. can be reached at office (for appointments etc.) via phone at
(918) 558-0338.
NPI number for Jaq L Zuidema is 1043749310 and current mailing address is 8263 S Harvard Ave # 1015, Tulsa, Oklahoma.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1043749310.
Healthcare Provider's Profile
| Full Name | Jaq L Zuidema |
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| Gender | |
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| Speciality | Social Worker - Clinical |
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| Location | 4000 W Montrose Ave # 790, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043749310
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Jaq L Zuidema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043749310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 21219 (Oklahoma) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.028001 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaq L Zuidema is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaq L Zuidema, LCSW, ASDCS, TIYT
8263 S Harvard Ave # 1015,
Tulsa, OK 74137-1614
Ph: (918) 558-0338 | Jaq L Zuidema, LCSW, ASDCS, TIYT
4000 W Montrose Ave # 790,
Chicago, IL 60641-2140
Ph: (918) 558-0338 |
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