IndividualActive
Jeffrey Blaine, L.C.S.W.
NPI 1093806614 · Clinical Social Worker · Chicago, IL
Jeffrey Blaine, L.C.S.W. is a Clinical Social Worker provider in Chicago, IL (NPI 1093806614).
Provider details
- NPI number
- 1093806614
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 N Clark St
Suite 2650
Chicago, IL 60602-4109
Phone: (312) 558-1573
Fax: (312) 558-1570
Street-level locationGet directions
Mailing address
803 Monroe Ave
River Forest, IL 60305-1421
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jeffrey Blaine's NPI number?
- Jeffrey Blaine's National Provider Identifier (NPI) is 1093806614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Blaine's specialty?
- Jeffrey Blaine is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jeffrey Blaine located?
- Jeffrey Blaine's practice location on file with NPPES is 20 N Clark St, Chicago, IL 60602-4109.
- What is Jeffrey Blaine's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Blaine is (312) 558-1573.
- Is Jeffrey Blaine's NPI active?
- Yes — Jeffrey Blaine's NPI (1093806614) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.