Jerry S. Kreiman, Ma, Acsw, LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-001853 Issued in IL

Legal business name

JERRY S. KREIMAN, MA, ACSW, LTD

Practice address

2505 McCormick Blvd
Evanston, IL 60201-3005

Phone

(847) 869-8988

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jerry S. Kreiman

Title

President

Phone

(847) 869-8988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1871736231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MCCORMICK BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013005",
            "telephone_number": "847-869-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MCCORMICK BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013005",
            "telephone_number": "847-869-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY S. KREIMAN, MA, ACSW, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "KREIMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-869-8988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-001853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Jeret
• Phoebe Jerousek, OTD, OTR/L
• Joy S. Jeschke, APN-CRNA
• Jan Marie Jeske, MD
• Michael J Jeske, LCSW
• Cheryl Lynn Jezwinski, PHARMD
• JH Counseling & Consulting, PLLC

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Apr 15, 2009; 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.