Active NPI
Jessica Cejas, LSW
- Social Worker
- Crystal Lake, IL
National Provider Identifier
1053183517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.111757
- Practice address
- 55 E Crystal Lake Ave
Crystal Lake, IL 60014-6151 - Phone
- (815) 522-1719
- NPI assigned
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.111757 | IL | Primary |
Addresses
Primary practice location
55 E Crystal Lake Ave
Crystal Lake, IL 60014-6151
Mailing address
236 Mondovi Dr
Oswego, IL 60543-8408
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 |
|---|---|---|---|
| 150.111757 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roan Solutions LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Elgin, IL
- NPI 1639761638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1053183517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 MONDOVI DR",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E CRYSTAL LAKE AVE",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146151",
"telephone_number": "815-522-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEJAS",
"first_name": "JESSICA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-26",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.111757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
- Natalie Diana Castaneda
- Christian Diore Ronquillo Castillo
- Debra Jo Caulk
- Lauren Marie Cazanigo Browning
- Donna Marie Ceisel, PT
- Amberly R Cencula, LMT
- Centegra Primary Care LLC (Centegra Physician Care McHenry County Orthopedic)
- Center for Cardiovascular Excellence SC
- Center for Neurology SC
- Center for Progressive Natural Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.