Jessica Roeder LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JESSICA ROEDER LCSW PLLC

Practice address

2019 N Sawyer Ave Apt 2F
Chicago, IL 60647-5170

Phone

(773) 744-3024

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Roeder, LCSWNPI 1679308928

Title

Social Worker

Phone

(773) 744-3024

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jessica Roeder, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1679308928
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1043046063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 N SAWYER AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475170",
            "telephone_number": "773-744-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 N SAWYER AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475170",
            "telephone_number": "773-744-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ROEDER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "773-744-3024",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Delmonaco Physical Therapy, PLLC
• Jessica Freilich'S Psychology Practice
• Jessica L Hudson PHD LLC
• Jessica M Nguyen DMD MPH PC
• Jessica Mehta, D.D.S. P.C.
• Jessica Twitchell Psychotherapist
• Jessica Vargas DDS PLLC
• Jessica Weisbach, LLC
• Jessie Brown Memoria VA Hospital
• Jessie L Mabaquiao MD

• 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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.