Individual provider Active NPI

Jamie Edwards, LCSW

  • Clinical Social Worker
  • Glenview, IL
National Provider Identifier
1295159283
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016269 Issued in IL
Practice address
1701 E Lake Ave Ste 255
Glenview, IL 60025-2037
Phone
(847) 881-6870
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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 149016269 IL Primary

Addresses

Primary practice location

1701 E Lake Ave Ste 255
Glenview, IL 60025-2037

Mailing address

9359 Osceola Ave
Morton Grove, IL 60053-1127
Phone (224) 627-0534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2025 through Nov 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Edwards LCSW, PC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1700 W Irving Park Rd
Ste 205B
Chicago, IL 60613
Phone (312) 722-3038

4045 N Damen Ave
Ste 1
Chicago, IL 60618
Phone (773) 296-2766

1701 E Lake Ave
Ste 255
Glenview, IL 60025
Phone (847) 881-6870

1920 Waukegan Rd
#200
Glenview, IL 60025
Phone (773) 527-6501

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1295159283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9359 OSCEOLA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531127",
            "telephone_number": "224-627-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 255",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252037",
            "telephone_number": "847-881-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.