Jessica Weisbach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018978 Issued in IL

Practice address

1010 N Noble St
Chicago, IL 60642-4011

Phone

(773) 862-1449

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jessica Weisbach, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1881291789
  NPD Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1972023109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N KEDZIE BLVD # 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472561",
            "telephone_number": "847-971-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N NOBLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424011",
            "telephone_number": "773-862-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBACH",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Weis, MSW, MPH
• Jamie Kaye Weis, CPNP
• Maya Willow Berg Weis
• Mervyn J. Weis, MD
• Renee Weis, OT
• Emily Ann Weisberg
• Lise Sara Weisberger, M.D.
• Rachel Sue Weiselberg, MD
• Elliot Weisenberg, M.D.
• Gloria J Weisensee

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jun 20, 2017; 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.