Jordan A Dobrowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022146 Issued in IL

Practice address

1658 N Milwaukee Ave # 3671
Chicago, IL 60647-6905

Phone

(872) 365-6087

Fax

(800) 991-2996

NPI assigned

Jun 19, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Willow & Leaf PLLC

  dba Willow & Leaf Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1972262806
  NPD Authorized official

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1750875159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE # 3671",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "872-365-5086",
            "fax_number": "800-991-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 N MILWAUKEE AVE # 3671",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476905",
            "telephone_number": "872-365-6087",
            "fax_number": "800-991-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROWSKI",
        "first_name": "JORDAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447252437001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cosmin Dobrescu, M.D.
• Paul Dobria, MD
• Dayana Dobrikov, DO
• Amanda Jean Dobron, LAC
• Amy Dobroveanu, PA
• Kristin Dobry, NP
• Sara Dobrzycki
• Dwayne Carlton Dobschuetz, APN
• Deon Dobson, ATC
• William Brian Dobyns, M.D.

• 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 Aug 21, 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.