Individual provider Active NPI

Jennifer Dunitz-Geiringer

  • Clinical Social Worker
  • Deerfield, IL
National Provider Identifier
1215556964
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022040 Issued in IL
Practice address
6 Mulberry East Rd
Deerfield, IL 60015-5060
Phone
(773) 339-8485
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022040 IL Primary

Addresses

Primary practice location

6 Mulberry East Rd
Deerfield, IL 60015-5060

Mailing address

6 Mulberry East Rd
Deerfield, IL 60015-5060
Phone (773) 339-8485

Other practice location 1

1866 Sheridan Rd Ste 217
Highland Park, IL 60035-2545
Phone (847) 681-3525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jen@foundtherapy.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
149.022040ILMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jen@foundtherapy.com

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1215556964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MULBERRY EAST RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155060",
            "telephone_number": "773-339-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MULBERRY EAST RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155060",
            "telephone_number": "773-339-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1866 Sheridan Rd Ste 217",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352545",
            "country_code": "US",
            "telephone_number": "847-681-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNITZ-GEIRINGER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jen@foundtherapy.com",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Mulberry East Rd",
            "city": "Deerfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600155060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.