Active NPI
Jay Greenberger, LCSW
- Clinical Social Worker
- Lincolnwood, IL
National Provider Identifier
1326319922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015020
- Practice address
- 4433 W Touhy Ave
Suite 206
Lincolnwood, IL 60712-1820 - Phone
- (773) 570-0770
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015020 | IL | Primary |
Addresses
Primary practice location
4433 W Touhy Ave
Suite 206
Lincolnwood, IL 60712-1820
Mailing address
4433 W Touhy Ave
Suite 206
Chicago, IL 60645-1313
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149015020 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wi LTC MHT | Clinical | Current | Accepting new patients |
| Illinois Center for Trauma and Addiction Treatment LLC | Clinical | Current | Accepting new patients |
| Sage Therapy Management LLC | Clinical | Current | Accepting new patients |
Locations
8001 Lincoln Ave
Ste 711
Skokie, IL 60077
Phone (224) 307-4728
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Skokie, IL
- NPI 1548807969
-
- Clinical Social Worker
- Skokie, IL
- NPI 1598484479
-
- Clinical Social Worker
- Brookfield, WI
- NPI 1538931092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1326319922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4433 W TOUHY AVE",
"address_2": "SUITE 206",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 W TOUHY AVE",
"address_2": "SUITE 206",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121820",
"telephone_number": "773-570-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERGER",
"first_name": "JAY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.