Individual provider Active NPI

Jackie Rasinski, LSW

  • Social Worker
  • Bolingbrook, IL
National Provider Identifier
1053247130
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.129365 Issued in IL
Practice address
215 Remington Blvd Ste G
Bolingbrook, IL 60440-3663
Phone
(630) 410-9578
Fax
(630) 297-0749
NPI assigned
Jun 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.129365 IL Primary

Addresses

Primary practice location

215 Remington Blvd Ste G
Bolingbrook, IL 60440-3663

Mailing address

215 Remington Blvd Ste G
Bolingbrook, IL 60440-3663
Phone (630) 410-9578

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

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1053247130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403663",
            "telephone_number": "630-410-9578",
            "fax_number": "630-297-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE G",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403663",
            "telephone_number": "630-410-9578",
            "fax_number": "630-297-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASINSKI",
        "first_name": "JACKIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.129365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.