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

Jonathan Handrup

Individual provider Social Worker · NPI 1295306322

Jonathan Handrup is a Clinical Social Worker in Lake Forest, Illinois. Qualified in 2020, 6 years ago. Practices with 360 Degrees Wellness and Coaching LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

225 E Deerpath
Lake Forest, IL 60045-1952
Phone: (847) 796-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150105239 (IL)

Record details

NPI number1295306322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 8, 2021
Mailing address1061 W 16th St Apt 411, Chicago, IL 60608-2863

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice 360 Degrees Wellness And Coaching Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Forest