Jamie Edwards LCSW, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAMIE EDWARDS LCSW, PC

Practice address

1701 E Lake Ave Ste 255
Glenview, IL 60025-2037

Phone

(847) 881-6870

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Jamie Edwards, LCSWNPI 1295159283

Title

Owner

Phone

(224) 627-0534

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Edwards, LCSW

  • Clinical Social Worker
  • Glenview, IL
  • NPI 1295159283
  NPD Authorized official

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690675200000",
    "number": "1821563263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9359 OSCEOLA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531127",
            "telephone_number": "224-627-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LAKE AVE STE 255",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252037",
            "telephone_number": "847-881-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE EDWARDS LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-627-0534",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295159283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amela Jakupovic
• James S Spitz MD SC
• Reenu James
• Ronald James, NURSE
• Sonia James
• Christine Marie Jamrosz
• Lucia Janasova
• Jane V. Dyonzak, PH.D.
• Pareshkumar D Jani, M.D.
• Lisa L Janssen, PTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glenview, IL
• Providers in Glenview, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.