Jacquelyn Suzanne Weber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018054 Issued in IL

Practice address

312 W State St Ste 104
Geneva, IL 60134-2164

Phone

(630) 402-6767

NPI assigned

Apr 10, 2016

Last updated

May 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 16, 2019 through Oct 16, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Weber Therapy and Consulting, PLLC

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1336962810
  NPD Authorized official

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1811351448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W STATE ST STE 104",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342164",
            "telephone_number": "630-402-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W STATE ST STE 104",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342164",
            "telephone_number": "630-402-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JACQUELYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018054",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "134769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Neal Ward, M.D.
• Mary E Wassilak, WHNP-BC
• Gregory Dudley Watson, LCSW,LMFT,ACSW
• Weber Therapy and Consulting, PLLC
• Benjamin Ross Weber, M.D.
• Christopher Weiss
• Natalie Weiss, R.D, L.D.N
• Paul Arthur Weiss, M.S.
• Wellcare Neonatologist
• Tiffany Y Wen, M.D.

• Clinical Social Worker in Geneva, IL
• Providers in Geneva, 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 May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.