Individual provider Active NPI

Jenna N Levinson, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1962858209
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018434 Issued in IL
Practice address
676 N Saint Clair St Ste 1000
Chicago, IL 60611-2976
Phone
(312) 695-5060
Fax
(312) 695-5507
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 149018434 IL Primary
Clinical Social Worker 1041C0700X 104407 CA

Addresses

Primary practice location

676 N Saint Clair St Ste 1000
Chicago, IL 60611-2976

Mailing address

676 N Saint Clair St Ste 1000
Chicago, IL 60611-2976
Phone (312) 695-5060

Other identifiers 1

IdentifierTypeStateIssuer
1962858209MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160622001079 IL Practitioner - Clinical Social Worker 8921399908 Reassigns benefits to 1 organization
I20220825001211 CA Practitioner - Clinical Social Worker 8921399908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

1704 Maple Ave
Suite 200
Evanston, IL 60201-3134
Phone (312) 926-6146

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104407CAMDClinical Social Worker
149018434ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Feb 11, 2019 Accepting new patients
Grace Street Counseling PLLC Clinical Current Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 11, 2019 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2022 Accepting new patients

Locations

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

676 N Saint Clair St
Ste 1000
Chicago, IL 60611
Phone (855) 695-8441

446 E Ontario St
Fl 6
Chicago, IL 60611
Phone (312) 926-3207

1704 Maple Ave
Ste 200
Evanston, IL 60201
Phone (847) 535-8500

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 5

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1962858209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112976",
            "telephone_number": "312-695-5060",
            "fax_number": "312-695-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112976",
            "telephone_number": "312-695-5060",
            "fax_number": "312-695-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSON",
        "first_name": "JENNA",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018434",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962858209",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.