Jessica Harberts

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.109377 Issued in IL

Practice address

1375 E Woodfield Rd Ste 220
Schaumburg, IL 60173-6068

Phone

(847) 942-8699

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1124735394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 CYNTHIA LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 220",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736068",
            "telephone_number": "847-942-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Michigan Ave Ste 508",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017708",
            "country_code": "US",
            "telephone_number": "847-383-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579376",
            "country_code": "US",
            "telephone_number": "847-383-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBERTS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.109377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Schaumburg, IL
• Providers in Schaumburg, 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 27, 2022; 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.