Individual provider Active NPI

Jenna Elyse Schloss, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1316501943
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021015 Issued in IL
Practice address
3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274
Phone
(773) 494-5505
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 149.021015 IL Primary

Addresses

Primary practice location

3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274

Mailing address

1307 Shermer Rd
Northbrook, IL 60062-4536
Phone (312) 267-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 14, 2023 through Mar 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.021015ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schloss Psychotherapy and Consultation PC Clinical CurrentSince Apr 6, 2023 Accepting new patients

Locations

1307 Shermer Rd
Ste 100
Northbrook, IL 60062

1307 Shermer Rd
Northbrook, IL 60062
Phone (312) 267-2992

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1316501943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SHERMER RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624536",
            "telephone_number": "312-267-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE UNIT 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574274",
            "telephone_number": "773-494-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOSS",
        "first_name": "JENNA",
        "middle_name": "ELYSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.