Individual provider Active NPI

Amy Joslin, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1760941546
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
147.008878 Issued in IL
Practice address
1902 W Cermak Rd
Chicago, IL 60608-4204
Phone
(312) 497-1311
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 147.008878 IL Primary

Addresses

Primary practice location

1902 W Cermak Rd
Chicago, IL 60608-4204

Mailing address

1902 W Cermak Rd
Chicago, IL 60608-4204

Other practice location 1

4747 Lincoln Mall Dr
Matteson, IL 60443-3811
Phone (708) 747-2655

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chicago Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.008878ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1760941546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204",
            "telephone_number": "312-497-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 Lincoln Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Matteson",
            "state": "IL",
            "postal_code": "604433811",
            "country_code": "US",
            "telephone_number": "708-747-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSLIN",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "147.008878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "endpointDescription": "National Youth Advocate Program",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1902 W Cermak Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606084204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 19, 2019; 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.