Jennifer Broers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013043 Issued in IL

Practice address

1100 Jorie Blvd Ste 220
Oak Brook, IL 60523-4421

Phone

(720) 826-4852

NPI assigned

Jan 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jennifer Wittig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1790446540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E JACKSON ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439510",
            "telephone_number": "630-453-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 220",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234421",
            "telephone_number": "720-826-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 S Highland Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485371",
            "country_code": "US",
            "telephone_number": "630-521-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1751 River Run Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761076670",
            "country_code": "US",
            "telephone_number": "833-595-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8741 S Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197061",
            "country_code": "US",
            "telephone_number": "630-521-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W Golf Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "MT Prospect",
            "state": "IL",
            "postal_code": "600564276",
            "country_code": "US",
            "telephone_number": "630-521-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2771 E US Highway 6 Ste B",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467559341",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Alabama St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042275",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROERS",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010053A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WITTIG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Boris, M.S.W.
• John Boyer, BCBA
• Megan M Bradberry, DPT
• Breath of Life Professional Services, NFP, Inc.
• Amy Brink
• Brook Clinic Associates, P.C.
• Harley C Brooks III, M.D.
• Blair Meredith Brown, PSY.D.
• Latasha Brown
• Shane Bruni

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, 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 1, 2023; 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.