Individual provider Active NPI

Mandisa Jones, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1831675693
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020678 Issued in IL
Practice address
1550 S Indiana Ave Ste 2NE
Chicago, IL 60605-2857
Phone
(773) 599-8922
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020678 IL Primary
Social Worker 104100000X 150.01571 IL

Addresses

Primary practice location

1550 S Indiana Ave Ste 2NE
Chicago, IL 60605-2857

Mailing address

40 E Huron St Unit 4B
Chicago, IL 60611-5244
Phone (773) 599-8922

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.01571ILMDSocial Worker
149020678ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ashe Counseling & Coaching LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients
Ashe Counseling & Coaching LLC Social Worker Current Accepting new patients

Locations

40 E Huron St
Unit 4B
Chicago, IL 60611

1136 S Delano Ct W
Ste B201
Chicago, IL 60605
Phone (312) 248-0230

1550 S Indiana Ave
Ste 2NE
Chicago, IL 60605
Phone (773) 377-5577

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1831675693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E HURON ST UNIT 4B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115244",
            "telephone_number": "773-599-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S INDIANA AVE STE 2NE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052857",
            "telephone_number": "773-599-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MANDISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020678",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.01571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 9, 2026; 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.