DR. JACQUELINE RENEE ANDERSON PHD, LCSW
NPI 1316281603
Social Worker - Clinical in Chicago, IL

Q: What is Jacqueline Anderson's NPI number?

The NPI number for Jacqueline Anderson is 1316281603. It was assigned to this individual provider in the NPPES registry on November 27, 2012.

Q: What is Jacqueline Anderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since November 27, 2012PECOS EnrolledAccepts Medicare Assignment

840 W IRVING PARK RD STE 302, CHICAGO, IL 60613(773) 659-9207(773) 799-8824 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jacqueline Renee Anderson Phd, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE RENEE ANDERSON PHD, LCSW (NPI 1316281603) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149009333) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1316281603

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDR. JACQUELINE RENEE ANDERSONCredential: PHD, LCSW

Location Address840 W IRVING PARK RD STE 302Chicago, IL 60613-3011

Mailing Address7622 S Perry AveChicago, IL 60620-1026 · (773) 454-3768

Phone(773) 659-9207

Fax(773) 799-8824

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 27, 2012

Last NPPES UpdateAugust 11, 2020

NPPES CertifiedAugust 11, 2020

✔ NPI 1316281603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IL · 149009333✔ Licensed in IL · 149.009333

Definition

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.

840 W IRVING PARK RD STE 302, Chicago, IL 60613

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Secondary Practice Location 1

Location 11055 W Catalpa Ave, 317Chicago, IL 60640-1550 · Phone (773) 454-3768 · Fax (773) 348-9011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Renee Anderson Phd, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103061056

PECOS Enrollment IDI20130325000117

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK MICHAEL PADDOCK

Counselor