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

Nicole Ashley Jazo, LCSW

Individual provider Clinical Social Worker · NPI 1619223591

Nicole Ashley Jazo, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices with Dekalb Behavioral Health Foundation, Inc, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2012
What do these letters mean?
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

676 N Saint Clair St Ste 1100
Chicago, IL 60611-2954
Phone: (312) 695-5060
Fax: (312) 695-5010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149020096 (IL)

Record details

NPI number1619223591
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 30, 2012
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Dekalb Behavioral Health Foundation, Inc. — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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