Organization Active NPI

Jessica Twitchell Psychotherapist

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1053167320
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA TWITCHELL PSYCHOTHERAPIST
Practice address
625 W Madison St Apt 2909
Chicago, IL 60661-2740
Phone
(312) 498-3607
NPI assigned
Apr 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Jessica Twitchell, LCSWNPI 1366149312
Title
Therapist, Owner
Phone
(312) 498-3607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

625 W Madison St Apt 2909
Chicago, IL 60661-2740

Mailing address

625 W Madison St Apt 2909
Chicago, IL 60661-2740
Phone (312) 498-3607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1053167320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST APT 2909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612740",
            "telephone_number": "312-498-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MADISON ST APT 2909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612740",
            "telephone_number": "312-498-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA TWITCHELL PSYCHOTHERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "TWITCHELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "312-498-3607",
        "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": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.