Individual provider Active NPI

Jennifer Diamond, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1013380914
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023811 Issued in IL
Practice address
680 North Lakeshore Dr.
Suite 110 #2616
Chicago, IL 60611
Phone
(630) 283-7980
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149023811 IL Primary

Addresses

Primary practice location

680 North Lakeshore Dr.
Suite 110 #2616
Chicago, IL 60611

Mailing address

680 North Lakeshore Dr.
Suite 110 #2616
Chicago, IL 60611
Phone (630) 283-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 17, 2023 through Dec 17, 2027

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149023811ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Dec 14, 2025 Accepting new patients
Aspire Intervention, PLLC Clinical Current Accepting new patients
Obsidian Behavioral Health PLLC Social Worker PastSince Oct 1, 2023 Accepting new patients

Locations

680 N Lake Shore Dr
Ste 110
Chicago, IL 60611
Phone (630) 283-7980

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1013380914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 NORTH LAKESHORE DR.",
            "address_2": "SUITE 110 #2616",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "630-283-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 NORTH LAKESHORE DR.",
            "address_2": "SUITE 110 #2616",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "630-283-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.