Active NPI
Jocelynn Valencia Garcia
- Social Worker
- Grayslake, IL
National Provider Identifier
1346926722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.107279
- Practice address
- 18640 W Il Route 120
Grayslake, IL 60030-9733 - Phone
- (847) 548-6000
- NPI assigned
- Jun 22, 2023
- Last updated
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.107279 | IL | Primary |
Addresses
Primary practice location
18640 W Il Route 120
Grayslake, IL 60030-9733
Mailing address
18640 W Il Route 120
Grayslake, IL 60030-9733
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.107279 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Youth Network, Inc | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1346926722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18640 W IL ROUTE 120",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600309733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18640 W IL ROUTE 120",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600309733",
"telephone_number": "847-548-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA GARCIA",
"first_name": "JOCELYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.107279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.