Organization
CONSTELLATION COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEVINE LCSW (STAFF THERAPIST)
(224) 215-6524
Entity
Organization
Contact information
Practice address
6666 N WESTERN AVE, CHICAGO, IL 60645-5106
(312) 857-6716
Mailing address
1401 W ELMDALE AVE UNIT 3, CHICAGO, IL 60660-2588
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up