Jean Ryan-Meyers, LCSW
Individual provider Active NPI Clinical Social Worker · Elburn, IL
NPI 1053174185 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1053174185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149011473 (IL)
- Practice address
- 21 S Main St
Elburn, IL 60119-9192 - Phone
- (773) 405-7639
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1968 Somerset LN
Wheaton, IL 60189-8140
21 S Main St
Unit a
Elburn, IL 60119-9194
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260306001048 | IL | Practitioner - Clinical Social Worker | 8426530544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149011473 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modus Operandi LLC | Current |
Accepting new patients |
Locations
21 S Main St
Unit A
Elburn, IL 60119
Phone (217) 471-4229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149011473 | IL | Yes |
Addresses
Primary practice location
21 S Main St
Elburn, IL 60119-9192
Mailing address
21 S Main St
Elburn, IL 60119-9192
Phone (773) 405-7639
Other providers in Elburn, IL
- Airianna Quintanilla
- Andrea Rauch
- Karen Frances Rink
- Robert B Davidson DDS PC
- Kirstie Ruckoldt
- Kristy Saar
- Michael James Schuiling
- Self Made Art Therapy LLC
- Shamrock RX, Inc.
- Kevin Paul Shimer
All providers in Elburn, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.