Jennifer Goldstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-012026 Issued in IL

Practice address

545 Lincoln Ave
Suite 15
Winnetka, IL 60093-2349

Phone

(847) 372-0643

NPI assigned

Jan 13, 2011

Last updated

Nov 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jen Goldstein Counseling

  • Clinical Social Worker
  • Northfield, IL
  • NPI 1669364741
  NPD Authorized official

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1053616573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BURR OAK DR",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600041919",
            "telephone_number": "847-372-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 LINCOLN AVE",
            "address_2": "SUITE 15",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932349",
            "telephone_number": "847-372-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-012026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Geiser
• George F. Warga DDS
• Paul Getzendanner, LCSW
• Justin Gibson
• Paige Golden, PT, DPT
• Rena Goodfriend-Leve, M.D.
• Rachel Goodman, MD
• Ronna Gordon
• Janet Beth Goss, M.A., L.P.C.
• Walter R Grobelny Jr., M.D.

• Clinical Social Worker in Winnetka, IL
• Providers in Winnetka, 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 Nov 21, 2013; 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.