Individual provider Active NPI

Jennifer Molly McCool, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1578186813
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4516 S Springfield Ave
Chicago, IL 60632-4042
Phone
(312) 330-4006
NPI assigned
May 21, 2020
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 Primary

Addresses

Primary practice location

4516 S Springfield Ave
Chicago, IL 60632-4042

Mailing address

4516 S Springfield Ave
Chicago, IL 60632-4042
Phone (312) 330-4006

Other practice location 1

917 W 18th St Ste 223
Chicago, IL 60608-2400
Phone (312) 330-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528003065 IL Practitioner - Clinical Social Worker 1951743517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1578186813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 S SPRINGFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324042",
            "telephone_number": "312-330-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 S SPRINGFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324042",
            "telephone_number": "312-330-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 W 18th St Ste 223",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606082400",
            "country_code": "US",
            "telephone_number": "312-330-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "JENNIFER",
        "middle_name": "MOLLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.