Jasmine Bailey
Individual provider Active NPI Clinical Social Worker · Hines, IL
NPI 1194454694 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1194454694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.026834 (IL)
- Practice address
- 5000 S 5TH Ave
Hines, IL 60141-3030 - Phone
- (708) 202-2511
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.026834 | IL | MD | Clinical Social Worker |
| 35177 | MN | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 35177 | MN | |
| Clinical Social Worker | 1041C0700X | 149.026834 | IL | Yes |
Addresses
Primary practice location
5000 S 5TH Ave
Hines, IL 60141-3030
Mailing address
5000 S 5TH Ave
Hines, IL 60141-3030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150.107900 | Other | IL | DEPARTMENT OF VETERAN AFFAIRS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Office | Direct |
Other providers in Hines, IL
- Kevin Bacigalupo
- Sara Marie Backus
- Beth Dorothy Baiardo
- Samantha June Baiardo
- Drew William Bailey
- Shantel Bailey
- Josiah Anthony Baker
- Ruth Lillian Baker
- Prasad Balachandran
- Joseph Baldwin
All providers in Hines, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.