Individual provider Active NPI

Jessica Shega

  • Clinical Social Worker
  • Geneva, IL
National Provider Identifier
1346619988
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015733 Issued in IL
Practice address
1541 E Fabyan Pkwy
Suite 101
Geneva, IL 60134-4105
Phone
(630) 845-9644
Fax
(630) 845-9678
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.015733 IL Primary

Addresses

Primary practice location

1541 E Fabyan Pkwy
Suite 101
Geneva, IL 60134-4105

Mailing address

103 Caterpillar Dr
Unit 2D
Joliet, IL 60436-1033
Phone (630) 845-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.015733ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Prairie Clinic Past Accepting new patients
The Plains Clinic PastSince Oct 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1346619988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CATERPILLAR DR",
            "address_2": "UNIT 2D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361033",
            "telephone_number": "630-845-9644",
            "fax_number": "630-845-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 E FABYAN PKWY",
            "address_2": "SUITE 101",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344105",
            "telephone_number": "630-845-9644",
            "fax_number": "630-845-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEGA",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.