Active NPI
La Juan Baines, MSW,LSW
- Clinical Social Worker
- Warrenville, IL
National Provider Identifier
1053072975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.027477
- Practice address
- 27475 Ferry Rd
Warrenville, IL 60555-3808 - Phone
- (312) 671-0088
- NPI assigned
- Jan 3, 2022
- Last updated
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Social Worker | 104100000X | 150108836 | IL | |
| Clinical Social Worker | 1041C0700X | 149.027477 | IL | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
27475 Ferry Rd
Warrenville, IL 60555-3808
Mailing address
27475 Ferry Rd
Warrenville, IL 60555-3808
Phone (312) 671-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150108836 | IL | MD | Social Worker |
| 149.027477 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Group Wellness Partners | Mental Health | Current | Accepting new patients |
| Focus Group Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Locations
650 Warrenville Rd
Ste 100
Lisle, IL 60532
Phone (331) 300-3102
27475 Ferry Rd
Warrenville, IL 60555
Phone (630) 326-4208
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1053072975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27475 FERRY RD",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553808",
"telephone_number": "312-671-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27475 FERRY RD",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553808",
"telephone_number": "312-671-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINES",
"first_name": "LA JUAN",
"credential": "MSW,LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150108836",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.027477",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.