Jessica Bobadilla, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016106 Issued in IL

Practice address

10630 S Avenue F
Chicago, IL 60617-6319

Phone

(773) 946-3241

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1750788469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 S AVENUE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 S AVENUE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176319",
            "telephone_number": "773-946-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBADILLA",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Board, LCSW
• Emma Marie Boat, MA
• Evelyn Boateng
• Kathryn E Boatwright, DPT
• Patricia Mary Boatwright, M.D.,
• Jonathan Bobadilla
• Alyssa Bobak, PA-C
• Marina Bobanovic
• Kishore Bobba, M.D
• Kaitlyn Elizabeth Bobbitt, DPT

• 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 Nov 24, 2014; 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.