Jamie S Kruse, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016662 Issued in IL

Practice address

1632 Hadley Dr
Batavia, IL 60510-9279

Phone

(630) 659-7141

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jamie S Velazquez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Creating Space Therapy, PLLC

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1285232058
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1194131458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 HADLEY DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605109279",
            "telephone_number": "630-659-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 HADLEY DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605109279",
            "telephone_number": "630-659-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "JAMIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "VELAZQUEZ",
            "middle_name": "S",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Koranek, LCPC
• Kenneth A Korpan, DDS
• Chardyce Lynnea Kott, MSW
• Linda Kott, PHARMD
• Donna Jean Kozica, LCSW
• Kuhn Counseling Center, P.C.
• Maria Erika Janice Kuhn, LICENSED CLINICAL PR
• Ted Joseph Kulczycki, M.D.
• Jodette Kwasniak-Wheat, M.A, LCPC
• Hannah Lanasa

• Clinical Social Worker in Batavia, IL
• Providers in Batavia, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.