Social Worker (Clinical)

Address: 10609 S Central Park Ave, Chicago, IL 60655-3203

JESSICA TYLER (NPI# 1932789013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932789013
Entity Type Individual
Gender Female
Credential LCSW
Practice Address 10609 S Central Park Ave
IL 60655-3203
Practice Telephone 5136332800
Mailing Address 10609 S Central Park Ave
IL 60655-3203
Mailing Telephone 5136332800
Certification Date 2021-04-12
Enumeration Date 2021-04-12
Last Update Date 2021-04-12
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 1041C0700X Social Worker
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Office Location

Street Address 10609 S CENTRAL PARK AVE
State IL
Zip Code 60655-3203

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NPI Name Taxonomy Address Enumeration
1962772921 E.m. Branch and Associates, Inc Social Worker 3139 W. 111th Street, Chicago, IL 60655 2012-01-09
1265678544 Lawrence Michael Furlan Dentist 10900 S Kedzie, Chicago, IL 60655 2008-12-17
1184791188 Kellie A Rhodes Gayles Dentist 10412 S Kedzie Ave, Chicago, IL 60655 2006-11-29
1346453719 Greenwood Medical Corp Sc Chiropractor 11001 S. Kedzie Avenue, Chicago, IL 60655 2007-05-08
1134533615 Axis Physical Medicine Physical Therapist 11005 S Kedzie Ave, Chicago, IL 60655 2014-06-12
1356700728 Molly Samansky · Molly King Speech-Language Pathologist 2549 W 106thh Pl, Chicago, IL 60655 2016-02-15
1043367592 Krista Ruth Bock Mangan · Krista Ruth Bock Occupational Therapist 10523 S Drake Ave, Chicago, IL 60655 2007-01-05
1346518891 Kelly Diana Koch Occupational Therapist 11143 S. Troy, Chicago, IL 60655 2011-12-12
1710122361 Athletico, Ltd · Athletico Sports Medicine and Physical Therapy Physical Therapist 3644 W. 111th Street, Chicago, IL 60655 2008-12-11
1235633074 Justin A Ragsdale Physical Therapist 3644 W 111th St, Chicago, IL 60655 2018-03-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912580358 Tashauna Waters Social Worker - Clinical 5035 S East End Ave Apt 807n, Chicago, IL 60615-0105 2021-05-04
1740863398 Katerina Maria Rios Social Worker - Clinical 2500 W Bradley Pl Ste 400, Chicago, IL 60618-4716 2021-05-02
1114500840 Kelsey Stallter Social Worker - Clinical 443 W Wrightwood Ave Apt 607, Chicago, IL 60614-2963 2021-04-30
1245812460 Patricia Milazzo Social Worker - Clinical 2222 W Lyndale St Apt 2, Chicago, IL 60647-4684 2021-04-27
1275114316 Brian Rosenberg Social Worker - Clinical 1225 E 52nd St Apt 2, Chicago, IL 60615-3944 2021-04-20
1285215517 Karen J. Green Social Worker - Clinical 333 N Michigan Ave Ste 620, Chicago, IL 60601-3943 2021-04-19
1982285201 Jashawn Deborah Hill · Jashawn Cannon Social Worker - Clinical 7517 S Wolcott Ave, Chicago, IL 60620-5206 2021-04-19
1366023970 Lisa Catania, PC Social Worker - Clinical 10725 S Western Ave Ste 2, Chicago, IL 60643-3217 2021-04-15
1093396764 Cory Grapenthien Bedtke Social Worker - Clinical 6538 N Northwest Hwy Apt 1i, Chicago, IL 60631-4002 2021-04-15
1063092948 Ashley M Wilcox Social Worker - Clinical 5721 N Central Ave, Chicago, IL 60646-5555 2021-04-13
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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