NPIMap

Organization Active NPI

Jen Underwood LCSW and Associates, Inc.

  • Clinical Social Worker
  • Deerfield, IL
National Provider Identifier
1447700885
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014172 Issued in IL
Legal business name
JEN UNDERWOOD LCSW AND ASSOCIATES, INC.
Practice address
1138 Elmwood Ave
Deerfield, IL 60015-2128
Phone
(517) 281-1268
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Ms. Jennifer Marie Underwood, LCSW
Title
President
Phone
(517) 281-1268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.014172 IL Primary

Addresses

Primary practice location

1138 Elmwood Ave
Deerfield, IL 60015-2128

Mailing address

1138 Elmwood Ave
Deerfield, IL 60015-2128
Phone (517) 281-1268

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1447700885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 ELMWOOD AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152128",
            "telephone_number": "517-281-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 ELMWOOD AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152128",
            "telephone_number": "517-281-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN UNDERWOOD LCSW AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-281-1268",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 10, 2016; 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.