Urbanstreetz Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

URBANSTREETZ THERAPY LLC

Practice address

9204 S Commercial Ave Ste 206
Chicago, IL 60617-2197

Phone

(773) 703-8486

Fax

(773) 530-7588

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica M Burnette, LCSWNPI 1508393562

Title

LCSW/Owner

Phone

(773) 703-8486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica M Burnette, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1508393562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663372800000",
    "number": "1023651049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8364 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196437",
            "telephone_number": "773-703-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 S COMMERCIAL AVE STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172197",
            "telephone_number": "773-703-8486",
            "fax_number": "773-530-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8364 S Kenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606196437",
            "country_code": "US",
            "telephone_number": "773-703-8486",
            "fax_number": "773-530-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URBANSTREETZ THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "773-703-8486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edyta Urbanek
• Jenna Rae Urbaniak I, PT, DPT
• Anna Urbano, DDS
• Amy Catherine Urbanowski, M.S., CF-SLP
• Sue Urbanski, C.N.S.
• Pat Urbanus, CNM
• Ryan Paul Bagcal Urbi, M.D.
• Andreina Urbina, FNP
• Jacob Thomas Urbina, MD
• Octavio Urbina, MA

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.