MEDICARE: ADJ COUNSELING AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1861122517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADJ COUNSELING AND WELLNESS

Provider Business Mailing Address
First Line	:	1317 W 98TH PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-1441
Country	:	US
Telephone Number	:	773-798-2976
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N WABASH AVE STE 100
Second Line	:	THE GARLAND BUILDING #3393
City	:	CHICAGO
State	:	IL
Zip	:	60602
Country	:	US
Telephone Number	:	773-217-0808
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMBER JOHNSON
Credential	:	MSW, LCSW
Telephone Number	:	773-798-2976

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	12/17/2025

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