Individual provider Active NPI

Jessica Stear, LCSW

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1295436939
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026721 Issued in IL
Practice address
1115 N North St Ste C
Peoria, IL 61606-1959
Phone
(309) 839-8984
NPI assigned
Mar 10, 2023
Last updated
Apr 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 149.026721 IL Primary

Addresses

Primary practice location

1115 N North St Ste C
Peoria, IL 61606-1959

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026721ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Self Solutions Clinical CurrentSince Feb 9, 2025 Accepting new patients
Post Acute Physician Care PC PastSince Jun 8, 2024 Accepting new patients

Locations

6808 N Knoxville Ave
Ste C
Peoria, IL 61614
Phone (309) 229-6451

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1295436939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N NORTH ST STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061959",
            "telephone_number": "309-839-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAR",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.