Elizabeth Lauren Jacobson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023248 Issued in IL

Practice address

1650 Moon Lake Blvd
Hoffman Estates, IL 60169-1010

Phone

(847) 755-8090

NPI assigned

Apr 15, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Midwest Therapy Partners PLLC

  • Clinical Psychologist
  • Hoffman Estates, IL
  • NPI 1881350304
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1760125926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 BRUCE DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601206831",
            "telephone_number": "847-915-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MOON LAKE BLVD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691010",
            "telephone_number": "847-755-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ELIZABETH",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishine Behavioral Health Inc
• Ishwar K. Patel, M.D., S.C.
• Melissa Ivins-Lukse, PHD
• Reena Jabamoni, MD
• Mercedes Isabel Jacks, PA-C
• Tiffanie A. Jacobson, RD, LDN
• Jeffrey J. Jagmin, M.D.
• Rachel Jakubowski, PA-C
• James W. Sislow D.D.S. LTD.
• Tracy James

• Clinical Social Worker in Hoffman Estates, IL
• Providers in Hoffman Estates, 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 Apr 15, 2022; 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.