JENNIFER WANG (NPI# 1114014107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114014107 |
| Entity Type | Individual |
| Full Name | JENNIFER WANG |
| Credential | L.C.S.W |
| Practice Address |
561 W Diversey Pkwy Suite 210 Chicago IL 60614-6068 |
| Practice Telephone | 7734254064 |
| Practice Fax Number | 7732449622 |
| Mailing Telephone | 7734254064 |
| Mailing Fax Number | 7732449622 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149010593 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| 1013388909 | Jennifer Wang | Physician Assistant | 3753 78th St, Jackson Heights, NY 11372-6631 | 2015-10-17 |
| 1114312329 | Jennifer Yu Wang | Dermatology | 450 Broadway Street Mc 5334, Redwood City, CA 94063-3132 | 2015-04-03 |
| 1225420284 | Jennifer Joy Wang | Nurse Anesthetist, Certified Registered | 9419 Mclennan Ave, Northridge, CA 91343-2723 | 2015-02-28 |
| 1326385766 | Jennifer Han Ju Wang | Pharmacist | 21540 30th Dr Se Ste 330, Bothell, WA 98021-7015 | 2013-01-04 |
| 1548505217 | Jennifer W Wang | Dentist | 2996 S. Norfolk St, E, San Mateo, CA 94403 | 2012-12-06 |
| 1306116934 | Jennifer Wang | Internal Medicine | One Gustave Levy Place, Department of Surgery, 1264, New York, NY 10029 | 2012-01-12 |
| 1649419854 | Jennifer Lu Wang | Dentist | 3060 Baldwin Park Blvd, Baldwin Park, CA 91706-4704 | 2009-02-11 |
| 1952461501 | Jennifer L Wang | Dentist | 2225 Williams Trace Blvd Ste 101, Sugar Land, TX 77478-4440 | 2006-12-12 |
| Street Address |
561 W DIVERSEY PKWY SUITE 210 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393296 | Deanna Marie Rondero | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-07-21 |
| 1760016075 | Elizabeth Spencer | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2020-02-25 |
| 1750875407 | Valentina Djordjevic | Physician Assistant | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-06-17 |
| 1659878049 | Vanessa Chobot Lennie | Dietitian, Registered | 561 W Diversey Pkwy, Chicago, IL 60614-6068 | 2018-04-11 |
| 1386065654 | Erika Kimberly Siesennop | Dietitian, Registered | 561 W Diversey Pkwy, Suite 219, Chicago, IL 60614-6068 | 2014-01-03 |
| 1225351166 | Julie Troob | Social Worker | 561 W Diversey Pkwy, Suite 216, Chicago, IL 60614-6068 | 2010-03-06 |
| 1427210962 | Cappy Silver | Social Worker | 561 W Diversey Pkwy, Ste 210a, Chicago, IL 60614-6068 | 2008-06-26 |
| 1154510279 | Inner Balance Psychotherapy Services Ltd | Clinic/Center | 561 W Diversey Pkwy, Suite 210, Chicago, IL 60614-6068 | 2007-10-15 |
| 1467640177 | Catherine J Minnick Dpm PC | Podiatrist | 561 W Diversey Pkwy, Suite 212, Chicago, IL 60614-6068 | 2007-10-09 |
| 1821200379 | Nickolas Georgiopoulos | Dentist | 561 W Diversey Pkwy, Suite 205, Chicago, IL 60614-6068 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| 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.