Candida Jacoby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017821 Issued in IL

Practice address

7624 W Belmont Ave
Chicago, IL 60634-3225

Phone

(773) 887-0987

NPI assigned

Jan 3, 2018

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oak Brook Counseling and Wellness LTDGroup PAC ID 6507194750, 3 clinicians

Blackbird Behavioral Health PCGroup PAC ID 4284998212, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Blackbird Behavioral Health, PC

  dba BlackBird Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
  • NPI 1245748722

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Oak Brook Counseling & Wellness LTD

  • Community/Behavioral Health Agency
  • Oak Brook, IL
  • NPI 1568721447

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Wholehealth Therapy Partners, Inc

  • Professional Counselor
  • Oak Park, IL
  • NPI 1457704603

  Single Specialty

  NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1164939872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7624 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343225",
            "telephone_number": "773-887-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7624 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343225",
            "telephone_number": "773-887-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "CANDIDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Jacobson, D.D.S., M.S.
• Tyler Andrew Jacobson
• Wynne Jacobson, LCPC
• Jacoby Chiropractic & Sports Performance
• Brian Joseph Jacoby, D.C.
• Anabel S Jacome
• Freddy Jacome
• Oscar Jacome, DPT
• Francky Jacque, MD
• Jacqueline Herbstman, LCSW, P.C.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.