Active NPI
Jacob Nathan, MSW
- Social Worker
- Chicago, IL
National Provider Identifier
1760274633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 611 W Briar PL
Chicago, IL 60657-4812 - Phone
- (317) 331-5013
- NPI assigned
- May 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
611 W Briar PL
Chicago, IL 60657-4812
Mailing address
2210 W Wabansia Ave Apt 406
Chicago, IL 60647-5488
Phone (773) 706-1698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1760274633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 W WABANSIA AVE APT 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475488",
"telephone_number": "773-706-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W BRIAR PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574812",
"telephone_number": "317-331-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "JACOB",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"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 May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.