Individual provider Active NPI

Jason Gerig, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1518467448
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017951 Issued in IL
Practice address
4667 N Manor Ave
Chicago, IL 60625-3717
Phone
(224) 633-3966
NPI assigned
Feb 16, 2018
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 149017951 IL Primary

Addresses

Primary practice location

4667 N Manor Ave
Chicago, IL 60625-3717

Mailing address

4838 N Paulina St Apt 3E
Chicago, IL 60640-4148
Phone (773) 949-4496

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

LicenseStateTypeSpecialty
149017951ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Fire Psychotherapy PLLC Clinical CurrentSince Jun 1, 2024 Accepting new patients
Head Heart Therapy Inc Clinical PastSince May 1, 2022 Accepting new patients

Locations

4667 N Manor Ave
Ste 2
Chicago, IL 60625
Phone (224) 633-3966

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1518467448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 N PAULINA ST APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404148",
            "telephone_number": "773-949-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 N MANOR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253717",
            "telephone_number": "224-633-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERIG",
        "first_name": "JASON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.