Active NPI
Jessica Nikkila, LCSW
- Clinical Social Worker
- Brookfield, IL
National Provider Identifier
1124331954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149012428
- Practice address
- 3533 Morton Ave
Brookfield, IL 60513-1112 - Phone
- (773) 343-4204
- NPI assigned
- Jul 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149012428 | IL | Primary |
Addresses
Primary practice location
3533 Morton Ave
Brookfield, IL 60513-1112
Mailing address
PO Box 492
Brookfield, IL 60513-0492
Phone (773) 343-4204
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 |
|---|---|---|---|
| 149012428 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Nikkila, LCSW, LLC | Clinical | Current | Accepting new patients |
Locations
3166 N Lincoln Ave
Ste 314
Chicago, IL 60657
Phone (773) 802-6748
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1124331954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492",
"city": "BROOKFIELD",
"state": "IL",
"postal_code": "605130492",
"telephone_number": "773-343-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 MORTON AVE",
"city": "BROOKFIELD",
"state": "IL",
"postal_code": "605131112",
"telephone_number": "773-343-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKKILA",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149012428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.