Jill Brantz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016035 Issued in IL

Practice address

1901 W Carroll Ave Ste 205
Chicago, IL 60612-2401

Phone

(773) 292-4058

Fax

(773) 278-5663

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

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.

• Kaleidoscope Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1144550948
  NPD
• Kaleidoscope Inc.

  • Case Management Agency
  • Chicago, IL
  • NPI 1790659621
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1174217848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W CARROLL AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122401",
            "telephone_number": "773-292-4058",
            "fax_number": "773-278-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W CARROLL AVE STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122401",
            "telephone_number": "773-292-4058",
            "fax_number": "773-278-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTZ",
        "first_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.016035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Bransford, MS, RD, LDN
• Sydney Branson, CCC-SLP
• Collin C. Brant, DDS
• Anjala Deloris Brantley, CNA
• Cortika Brantley
• Charanjit K Brar, RN, ACNP
• Jasdeep S. Brar, M.D.
• Kelsey Ann Brar, DMD
• Lisa Brasch, LCSW
• Cassandra Joyce Brasel, LPC

• 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 Jun 6, 2023; 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.