Active NPI
Amanda Jones, LSW, JD
- Social Worker
- Evanston, IL
National Provider Identifier
1558791285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.014573
- Practice address
- 1840 Oak Ave
Evanston, IL 60201-3642 - Phone
- (847) 512-4425
- NPI assigned
- Nov 15, 2013
- Last updated
- Nov 15, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.014573 | IL | Primary |
Addresses
Primary practice location
1840 Oak Ave
Evanston, IL 60201-3642
Mailing address
2131 W Giddings St
Apt. 3a
Chicago, IL 60625-1494
Phone (920) 988-7549
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
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.014573 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurtured Roots Counseling and Consulting, LLC | Current | Accepting new patients | |
| Connected Counseling Chicago, LLC | Past | Accepting new patients |
Locations
4327 W Irving Park Rd
Ste 2A
Chicago, IL 60641
Phone (224) 458-5027
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1689063588
-
- Clinical Social Worker
- Chicago, IL
- NPI 1194661884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1558791285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 W GIDDINGS ST",
"address_2": "APT. 3A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251494",
"telephone_number": "920-988-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 OAK AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013642",
"telephone_number": "847-512-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "AMANDA",
"credential": "LSW, JD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.014573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.