Jenna Musselman-Palles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014785 Issued in IL

Practice address

1740 Ridge Ave
Suite 201
Evanston, IL 60201-5918

Phone

(847) 475-7003

NPI assigned

Jun 11, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1750643250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476546",
            "telephone_number": "773-235-5705",
            "fax_number": "773-235-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE",
            "address_2": "SUITE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015918",
            "telephone_number": "847-475-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN-PALLES",
        "first_name": "JENNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Diana Museitif, MSMFT
• Umer Mushtaq
• Music Institute of Chicago (Institute for Therapy through the Arts)
• Jeffrey N Muskovin, LMT
• Fadi Musleh, PHARM D
• MVMT Evanston Physical Therapy PLLC
• Peter G Myers, PSY.D.
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
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• Grace Myhre, PHARMD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Jun 11, 2012; 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.