Jessica M Gregg, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149019119 Issued in IL

Practice address

5758 Elaine Dr Ste 101C
Rockford, IL 61108-3102

Phone

(815) 975-1177

NPI assigned

Feb 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jessica Margaret Devore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Megan Alberto, LCPC, LLC

  • Professional Counselor
  • Rockford, IL
  • NPI 1568147650
  NPD

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1013257823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 LONG ISLAND CIR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118952",
            "telephone_number": "989-600-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 ELAINE DR STE 101C",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083102",
            "telephone_number": "815-975-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "772 Long Island Cir",
            "address_purpose": "LOCATION",
            "city": "Loves Park",
            "state": "IL",
            "postal_code": "611118952",
            "country_code": "US",
            "telephone_number": "989-600-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGG",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00944213",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DEVORE",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natalie Lea Green, COTA/L
• Rona Laticia Green, LPC
• Roger L Greenlaw, M.D.
• Christopher Lee Greenwaldt, DMD
• Greenwood Osteopractic Physical Therapy & Educational Services PLLC
• Julie Ann Gregg, ATC
• Sarah J Gregg, OD
• Erin K Grenke, LCPC
• Jasbir Grewal, M.D.
• Jennifer Grewer, HIS

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.