Active NPI
Jane Elizabeth Shersher, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1093256414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.020039
- Practice address
- 3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274 - Phone
- (609) 947-3879
- Fax
- (773) 404-5837
- NPI assigned
- Mar 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.102246 | IL | |
| Clinical Social Worker | 1041C0700X | 149.020039 | IL | Primary |
Addresses
Primary practice location
3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274
Mailing address
3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274
Phone (609) 947-3879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.102246 | IL | MD | Social Worker |
| 149.020039 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1093256414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3047 N LINCOLN AVE UNIT 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574274",
"telephone_number": "609-947-3879",
"fax_number": "773-404-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3047 N LINCOLN AVE UNIT 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574274",
"telephone_number": "609-947-3879",
"fax_number": "773-404-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERSHER",
"first_name": "JANE",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-18",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.102246",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.020039",
"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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.