Individual provider Active NPI

Jamie Ellen Farrell, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1689353054
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021260 Issued in IL
Practice address
3003 W Touhy Ave
Chicago, IL 60645-2833
Phone
(773) 508-1105
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 149021260 IL Primary

Addresses

Primary practice location

3003 W Touhy Ave
Chicago, IL 60645-2833

Mailing address

3033 W Touhy Ave
Chicago, IL 60645-2833
Phone (773) 508-1105

Other names 1

  • Jamie Ellen Baruch Other name

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
I20230801004382 IL Practitioner - Clinical Social Worker 1557722949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Council for Jewish ElderlyGroup PAC ID 8224932702, 20 clinicians

Practice addresses (Care Compare)

1551 Lake Cook Rd
Deerfield, IL 60015-5651
Phone (847) 374-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Council for Jewish Elderly CurrentSince Jul 13, 2023 Accepting new patients
Council for Jewish Elderly Clinical CurrentSince Jul 13, 2023 Accepting new patients

Locations

3003 W Touhy Ave
Chicago, IL 60645
Phone (773) 508-1000

3033 W Touhy Ave
Chicago, IL 60645
Phone (773) 508-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1689353054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-508-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-508-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "JAMIE",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BARUCH",
            "middle_name": "ELLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.