Jessica Roberson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1136 S Delano CT W Ste B201
Chicago, IL 60605-3734

Phone

(630) 479-6330

NPI assigned

Nov 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1699376343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GOLD ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W STE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "telephone_number": "630-479-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroberson@lifealignedcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Life Aligned Counseling and Consulting",
            "address_1": "1136 S Delano Ct W Ste B201",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606053734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lifealignedcounseling.com",
            "affiliation": "N",
            "address_1": "1136 S Delano Ct W Ste B201",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606053734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kortnee Y Roberson Cooper, MD
• Toya Denise Roberson-Moore, M.D.
• Alyce Roberson
• Dale W Roberson, LCSW
• Deangela Roberson, SA
• Robert a. Fajardo, M.D., S.C.
• Robert a. Levine, M.D., S.C.
• Robert a. Reff, M.D., P.C.
• Robert B Scott Ocularists LTD
• Robert Budziakowski, MD, S.C.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.