Individual provider Active NPI

Jessica Gail Schoon, LCSW

  • Clinical Social Worker
  • Canton, IL
National Provider Identifier
1003570581
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022483 Issued in IL
Practice address
65 Magrabl Dr
Canton, IL 61520-1116
Phone
(309) 231-3016
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149022483 IL Primary

Addresses

Primary practice location

65 Magrabl Dr
Canton, IL 61520-1116

Mailing address

65 Magrabl Dr
Canton, IL 61520-1116
Phone (309) 231-3016

Other names 1

  • Miss Jessica Gail Ford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000965 IL Practitioner - Clinical Social Worker 2466839444 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 29, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Mental Health Centers of Western Illinois CurrentSince Apr 26, 2022 Accepting new patients

Locations

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

700 SE Cross St
Mt Sterling, IL 62353

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL PPO Downstate
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1003570581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MAGRABL DR",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201116",
            "telephone_number": "309-231-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAGRABL DR",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201116",
            "telephone_number": "309-231-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOON",
        "first_name": "JESSICA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FORD",
            "middle_name": "GAIL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, IL

Sources for this page

Verify at the official NPI Registry.