JEFFREY WYSE LCSW
NPI 1417243775
Social Worker - Clinical in Chicago, IL

Active since June 24, 2011
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613(773) 572-5500 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey Wyse Lcsw NPPES

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

JEFFREY WYSE LCSW (NPI 1417243775) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-012703) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1417243775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY WYSECredential: LCSW
Location Address4101 N RAVENSWOOD AVEChicago, IL 60613-2193
Mailing Address4101 N Ravenswood AveChicago, IL 60613-2193
Sole ProprietorNo
Enumeration DateJune 24, 2011
NPI 1417243775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149-012703
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.

4101 N RAVENSWOOD AVE, Chicago, IL 60613

Other Identifiers 1

Other149-012703IL · Lcsw

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.

Psychiatry & Neurology (Psychiatry)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Psychologist (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613
Social Worker (Clinical)
4101 N RAVENSWOOD AVE
CHICAGO, IL 60613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417243775, enumerated as an "individual" on June 24, 2011.

The provider is located at 4101 N RAVENSWOOD AVE CHICAGO, IL 60613 and the phone number is (773) 572-5500.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.