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

Susan Kottra, LCSW

Individual provider Clinical Social Worker · NPI 1477837235

Susan Kottra, LCSW is a Clinical Social Worker in Park Ridge, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1997, 29 years ago. Practices with The Juniper Center PC, a 26-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
29
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471
Phone: (847) 759-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.010457 (IL)

Record details

NPI number1477837235
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2011
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing address1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice The Juniper Center Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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