Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Renee Anderson, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1316281603

Dr. Jacqueline Renee Anderson, PHD, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2009, 17 years ago. Practices with Inclusive Insight Psychotherapy and Consulting, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

840 W Irving Park Rd Ste 302
Chicago, IL 60613-3011
Phone: (773) 659-9207
Fax: (773) 799-8824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 W Catalpa Ave, Chicago, IL 60640-1550 — (773) 454-3768

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149009333 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.009333 (IL)

Record details

NPI number1316281603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedNovember 27, 2012
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Inclusive Insight Psychotherapy And Consulting — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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