Individual provider Active NPI

Jennifer Anna Doolas, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1992516355
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014573 Issued in IL
Practice address
73 W Monroe St Ste 422
Chicago, IL 60603-4955
Phone
(888) 500-2067
Fax
(617) 649-8520
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014573 IL Primary

Addresses

Primary practice location

73 W Monroe St Ste 422
Chicago, IL 60603-4955

Mailing address

700 Massachusetts Ave FL 3
Cambridge, MA 02139-3345
Phone (888) 500-2067

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
149.014573ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Clinical PastSince Jan 19, 2025 Accepting new patients

Organizations & group practices 1

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1992516355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393345",
            "telephone_number": "888-500-2067",
            "fax_number": "617-649-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 W MONROE ST STE 422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034955",
            "telephone_number": "888-500-2067",
            "fax_number": "617-649-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLAS",
        "first_name": "JENNIFER",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014573",
            "primary": true
        }
    ],
    "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 Jan 15, 2025; 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.