Individual provider Active NPI

Jaime Ann Williamson, LCSW

  • Clinical Social Worker
  • Schaumburg, IL
National Provider Identifier
1093057572
Registry record updated Jun 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017693 Issued in IL
Practice address
1251 N Plum Grove Rd Ste 120K
Schaumburg, IL 60173-5603
Phone
(847) 285-1036
Fax
(847) 285-1597
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149017693 IL
Social Worker 104100000X 149017693 IL
Clinical Social Worker 1041C0700X 149017693 IL Primary

Addresses

Primary practice location

1251 N Plum Grove Rd Ste 120K
Schaumburg, IL 60173-5603

Mailing address

1197 Sonoma CT
Pingree Grove, IL 60140-1402
Phone (312) 593-0394

Other practice location 1

600 Spring Hill Ring Rd Ste 106
West Dundee, IL 60118-7301
Phone (630) 202-3610

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

LicenseStateTypeSpecialty
149017693ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Counseling Services, LLC Mental Health Current Accepting new patients
Steven R. Lindahl Clinical Past Accepting new patients

Locations

1251 N Plum Grove Rd
Ste 120K
Schaumburg, IL 60173
Phone (312) 593-0394

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1093057572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 SONOMA CT",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601401402",
            "telephone_number": "312-593-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N PLUM GROVE RD STE 120K",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735603",
            "telephone_number": "847-285-1036",
            "fax_number": "847-285-1597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Spring Hill Ring Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "West Dundee",
            "state": "IL",
            "postal_code": "601187301",
            "country_code": "US",
            "telephone_number": "630-202-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JAIME",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149017693",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149017693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.