Active NPI
Rebecca Jacobson Therapy, LLC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1811538416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- REBECCA JACOBSON THERAPY, LLC
- Practice address
- 1827 N Dayton St Unit E
Chicago, IL 60614-0999 - Phone
- (847) 421-9136
- NPI assigned
- Oct 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Jacobson, LCSW
- Title
- Owner
- Phone
- (847) 421-9136
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1827 N Dayton St Unit E
Chicago, IL 60614-0999
Mailing address
1827 N Dayton St Unit E
Chicago, IL 60614-0999
Other practice location 1
2835 N Sheffield Ave Ste 521
Chicago, IL 60657-5081
Phone (847) 421-9136
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca@rebeccajacobsontherapy.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2835 N Sheffield Ave
Ste 521
Chicago, IL 60657
Phone (847) 421-9136
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1528581790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570147200000",
"number": "1811538416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 N DAYTON ST UNIT E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606140999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 N DAYTON ST UNIT E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606140999",
"telephone_number": "847-421-9136"
}
],
"practiceLocations": [
{
"address_1": "2835 N Sheffield Ave Ste 521",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575081",
"country_code": "US",
"telephone_number": "847-421-9136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REBECCA JACOBSON THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A",
"authorized_official_last_name": "JACOBSON",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-421-9136",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebecca@rebeccajacobsontherapy.com",
"affiliation": "N",
"endpointDescription": "LLC Email Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1827 N Dayton St Unit E",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606140999",
"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 Oct 4, 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.