Organization Active NPI

Jamie Eisenberg PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730863440
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JAMIE EISENBERG PLLC
Practice address
3166 N Lincoln Ave Ste 315
Chicago, IL 60657-3119
Phone
(773) 472-5300
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Jamie Trumbell, LCSW
Title
Authorized Official/Manager
Phone
(773) 472-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3166 N Lincoln Ave Ste 315
Chicago, IL 60657-3119

Mailing address

3166 N Lincoln Ave Ste 315
Chicago, IL 60657-3119
Phone (773) 472-5300

National Provider Directory

National Provider Directory

Locations

3166 N Lincoln Ave
Ste 315
Chicago, IL 60657
Phone (773) 472-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1730863440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "773-472-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "773-472-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE EISENBERG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "TRUMBELL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/MANAGER",
        "authorized_official_telephone_number": "773-472-5300",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jun 13, 2023; 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.