Active NPI
Jorie K Burgess
- Social Worker
- McHenry, IL
National Provider Identifier
1144113002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4209 W Shamrock LN Unit C
McHenry, IL 60050-8700 - Phone
- (815) 344-9443
- NPI assigned
- May 30, 2025
- Sex
- Unspecified or another gender identity
- 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 | IL | Primary |
Addresses
Primary practice location
4209 W Shamrock LN Unit C
McHenry, IL 60050-8700
Mailing address
985 E Shore Dr
Fox Lake, IL 60020-1043
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": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1144113002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 E SHORE DR",
"city": "FOX LAKE",
"state": "IL",
"postal_code": "600201043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 W SHAMROCK LN UNIT C",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508700",
"telephone_number": "815-344-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JORIE",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.