Jessica L Wiley, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.101417 Issued in IL

Practice address

1801 Woodfield Dr Ste 106
Savoy, IL 61874-9505

Phone

(217) 819-0043

NPI assigned

Sep 21, 2017

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Jessica Wiley Therapy, LLC

  • Counselor
  • Savoy, IL
  • NPI 1093407173
  NPD Authorized official
• Cunningham Children's Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
  • NPI 1871047209
  NPD (past)
• Cunningham Children's Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rantoul, IL
  • NPI 1871378976
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1356850457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR STE B16-18",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-531-2360",
            "fax_number": "217-352-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WOODFIELD DR STE 106",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749505",
            "telephone_number": "217-819-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.101417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Christine Anne Washo, M.S., M.S.W.
• Katherine Webb, PHARMD
• Elizabeth D Weingart, LSCSW, LCSW
• Merle Stanley White, D.D.S.
• Williamson Therapy and Consulting LLC (Sara Williamson)
• Jane Vanessa Willie, LPC
• Ann Elizabeth Wilson, COTA
• Deborah Deann Winn, LCPC
• Ryan Jeffrey Witt, O.D.

• Clinical Social Worker in Savoy, IL
• Providers in Savoy, 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 Aug 2, 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.

Verify at the official NPI Registry.