Individual provider Active NPI

Jillian McGuinness, LCSW

  • Clinical Social Worker
  • Rock Island, IL
National Provider Identifier
1194067140
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024111 Issued in IL
Practice address
100 19TH St Ste 102
Rock Island, IL 61201-8022
Phone
(094) 077-8003
NPI assigned
Mar 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.018135 IL
Clinical Social Worker 1041C0700X 149024111 IL Primary

Addresses

Primary practice location

100 19TH St Ste 102
Rock Island, IL 61201-8022

Mailing address

209 N Euclid Ave
Princeton, IL 61356-1422
Phone (815) 200-2760

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
149024111ILMDClinical Social Worker
227.018135ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aisling Wellness PLLC CurrentSince Feb 27, 2022 Accepting new patients

Locations

100 19th St
Ste 102
Rock Island, IL 61201
Phone (309) 236-9553

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": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1194067140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N EUCLID AVE",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561422",
            "telephone_number": "815-200-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 19TH ST STE 102",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018022",
            "telephone_number": "094-077-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINNESS",
        "first_name": "JILLIAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-17",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.018135",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.