Amy Jo Ceshker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021362 Issued in IL

Practice address

N1664 Geneva Ave
Lake Geneva, WI 53147-4066

Phone

(262) 325-5569

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Connect Online Counseling LLCGroup PAC ID 6507278421, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connect Online Counseling LLC

  • Clinical Social Worker
  • Warrenville, IL
  • NPI 1679188148
  Medicare reassignment Care Compare group NPD
• Independence Health & Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodstock, IL
  • NPI 1598717597

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1326631433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1664 GENEVA AVE",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474066",
            "telephone_number": "262-325-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1664 GENEVA AVE",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474066",
            "telephone_number": "262-325-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESHKER",
        "first_name": "AMY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021362",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beulah Suzanne Carpenter, LMT
• Amy Carroll, PTA
• Brook Cash, RN
• Kerry A. Cates, PT
• Paul Michael Cesarz, R.PH.
• James Chapman, P.T.
• Yvonne Chentnik
• Daniel M Christy
• City of Lake Geneva
• CJR Partners LLC (Spinal Rehabilitation Center of Lake Geneva)

• Clinical Social Worker in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.