Joan Ellen Gjesfjeld, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016133 Issued in IL

Practice address

1100 Beech St
BLDG. 13 B
Normal, IL 61761-1493

Phone

(309) 336-3284

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456617600000",
    "number": "1346550795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 COUNTRY LN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046261",
            "telephone_number": "309-336-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST",
            "address_2": "BLDG. 13 B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611493",
            "telephone_number": "309-336-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJESFJELD",
        "first_name": "JOAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2016-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel William Gibson, D.O
• Stacey J Giese, RN
• Sherry Giles, CST
• Sydney Marie Gilmer, FNP-C
• Kayla Gingerich, CRNA
• Catherine Gleason-Dintaman, CRNA
• Joshua Goetze, PT, DPT
• Rebecca L Golladay, OTR-L
• Miranda Leigh Gonzalez, APN, CNP
• Ajeet D Gordhan, M.D.

• Clinical Social Worker in Normal, IL
• Providers in Normal, 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 Feb 28, 2016; 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.