Jill Erickson
Individual provider Active NPI Clinical Social Worker · Watseka, IL
NPI 1346867660 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1346867660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149024452 (IL)
- Practice address
- 323 W Mulberry St
Watseka, IL 60970-1568 - Phone
- (815) 432-5241
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iroquois Mental Health Center
Practice addresses (Care Compare)
323 W Mulberry St
Watseka, IL 60970-1568
Phone 8154325241201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230503003056 | IL | Practitioner - Clinical Social Worker | 4082079645 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iroquois Mental Health Center | Current |
Accepting new patients |
Locations
323 W Mulberry St
Watseka, IL 60970
Phone 8152694769201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 149024452 | IL | Yes |
Addresses
Primary practice location
323 W Mulberry St
Watseka, IL 60970-1568
Mailing address
PO Box 322
Watseka, IL 60970-0322
Other providers in Watseka, IL
- DRS. Martin & Rose
- Dsi Watseka Operator LLC
- Rebecca Eimer
- Daniel Ellis
- Donald J. Emerson
- Kristen Renee Esquivel
- Terri Fanning
- Heather Fletcher
- Angelita Fontanilla
- Ford-Iroquois Public Health Dept
All providers in Watseka, 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 Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.