Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jillu Panavelil Mathew

Individual provider Clinical Social Worker · NPI 1730628793

Jillu Panavelil Mathew is a Clinical Social Worker in Wood Dale, Illinois. Qualified in 2014, 12 years ago. Practices with Richard Kneip PHD PC, a 243-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2017

Practice location Address checks out

119 Blackhawk Ct Unit 5
Wood Dale, IL 60191-2813
Phone: (201) 527-5309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.020218 (IL)

Record details

NPI number1730628793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Richard Kneip Phd Pc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wood Dale