Daniel B Jerez, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022935 Issued in IL

Practice address

1416 N Springfield Ave
Chicago, IL 60651-2042

Phone

(773) 964-2868

NPI assigned

Feb 26, 2021

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valentin Berman MD PC

  • Psychiatry Physician
  • Evergreen Park, IL
  • NPI 1821122029
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1316531635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 N SPRINGFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512042",
            "telephone_number": "773-964-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 N SPRINGFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512042",
            "telephone_number": "773-964-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREZ",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tertia Abigail Jeppson
• Ernest Jercinovic, D.D.S.
• Ibi Jessica Jeremiah, LCSW
• Jeremy Bonsol,LLC
• Jeremy Leimback DC PC
• McKenna Jerger
• Nancy M Jerger, RD, RN, CNSD, LDN
• Barbara Jericho
• Caitlyn Jerkins, PHARMD
• Sara L Jerousek, CO, LO

• 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 Feb 26, 2021; 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.