MRS. JACLYN WOLFSON (NPI# 1396087904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396087904 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN WOLFSON |
| Credential | MSW, LCSW |
| Practice Address |
811 W Evergreen Ave Suite 404 Chicago IL 60642-2682 |
| Practice Telephone | 3122421665 |
| Mailing Telephone | 3122421665 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.015672 | IL | Behavioral Health & Social Service Providers |
| Street Address |
811 W EVERGREEN AVE SUITE 404 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285802025 | Depaul Family & Community Services | Clinic/Center | 811 W Evergreen Ave, 102a, Chicago, IL 60622-2682 | 2008-02-14 |
| 1740752690 | Carol Brod | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-12-17 |
| 1053886796 | Erin Nicole Kooiker | Physical Therapy Assistant | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-10-09 |
| 1134656887 | Marisa Borreca | Developmental Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2017-05-12 |
| 1669906731 | Gabrielle Kirk | Occupational Therapist | 811 W Evergreen Ave, Unit 404, Chicago, IL 60642-7113 | 2017-04-17 |
| 1588115174 | Cara Mcgarry | Speech-Language Pathologist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-18 |
| 1508316316 | Morgan Jana Ahluwalia | Physical Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-05 |
| 1275986382 | Sabrina Gimenez | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-07-13 |
| 1992150254 | Rachel Amanda Holowicki | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-04-25 |
| 1821468513 | Aislynn Gallagher | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| 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] |
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| 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.