MS. JESSICA ANNE GOULD (NPI# 1053483131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053483131 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANNE GOULD |
| Credential | LCSW |
| Practice Address |
1945 W Wilson Ave Chicago IL 60640-5255 |
| Mailing Address |
4408 N Winchester Ave Apt 47 Chicago IL 60640-5853 |
| Practice Telephone | 3123443879 |
| Mailing Telephone | 3123443879 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
25050 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149014645 | IL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
17994 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355326 | Jessica Gould | Nurse Practitioner | 4293 Kinsey Dr, Tyler, TX 75703-1004 | 2019-03-14 |
| 1437536620 | Jessica Gould | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2015-04-27 |
| 1548544307 | Jessica Lee Gould | Internal Medicine | 4950 W Sunset Blvd, Internal Medicine Office, 6th Floor, Los Angeles, CA 90027-5822 | 2011-09-28 |
| 1578895397 | Jessica Gould | Occupational Therapy Assistant | 3066 Jog Rd, Greenacres, FL 33467-2053 | 2010-02-03 |
| Street Address |
1945 W WILSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160658 | Larry Alan Fisher | Dentist | 1945 W Wilson Ave, Suite 2112, Chicago, IL 60640-5255 | 2005-10-31 |
| 1710519921 | Claire Husaynu | Occupational Therapist | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2020-02-05 |
| 1700425378 | Kimberly A George | Occupational Therapist | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2019-12-31 |
| 1790337228 | Tomasa Valencia | Nurse Practitioner | 1945 W Wilson Ave, Chicago, IL 60640 | 2019-07-15 |
| 1417489311 | Laura Therese Toscano | Hearing Instrument Specialist | 1945 W Wilson Ave, Suite 6108, Chicago, IL 60640-5255 | 2017-03-30 |
| 1578001285 | Lakeshore Psychotherapy Group LLC | Psychologist | 1945 W Wilson Ave, Suite 6117, Chicago, IL 60640-5255 | 2017-02-02 |
| 1194192088 | Eva Lopez | Audiologist | 1945 W Wilson Ave, Suite 6108, Chicago, IL 60640-5255 | 2015-08-26 |
| 1861887036 | Robert L Neems Dds PC | Dentist | 1945 W Wilson Ave, Suite 5117, Chicago, IL 60640-5255 | 2015-04-03 |
| 1518365857 | Lauren Johnson | Social Worker | 1945 W Wilson Ave, Suite 5115, Chicago, IL 60640 | 2014-12-19 |
| 1902239460 | Melissa Kwafo | Social Worker | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.