Jessie Anne Gottschall, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5206 W Elm St
McHenry, IL 60050-4000

Phone

(815) 363-7001

Fax

(847) 713-2395

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053473371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BLUFF CT",
            "address_2": "UNIT A",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600107355",
            "telephone_number": "847-713-2395",
            "fax_number": "847-713-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 W ELM ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504000",
            "telephone_number": "815-363-7001",
            "fax_number": "847-713-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHALL",
        "first_name": "JESSIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7296123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Goodall, APRN, CNP
• Masha Boyko Goode, OTR
• Goodhope Healthcare and Home Health Services Inc
• Jennifer K. Gosnell, LCPC
• Glenn Gottner
• Leland T. Gough, DPT
• Thomas Leland Gough, D.D.S.
• Hunter Michelle Gourdie
• Satish P Gowda, M.D
• Cory Grabow, PTA

• Social Worker in McHenry, IL
• Providers in McHenry, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.