Individual provider Active NPI

Jameylee P Dwyer, LCSW

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1356916126
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.9030306 Issued in IL
Practice address
6723 Weaver Rd Ste 120
Rockford, IL 61114-8021
Phone
(815) 540-2959
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12028-123 WI
Clinical Social Worker 1041C0700X 149.9030306 IL Primary

Addresses

Primary practice location

6723 Weaver Rd Ste 120
Rockford, IL 61114-8021

Mailing address

6723 Weaver Rd Ste 120
Rockford, IL 61114-8021
Phone (815) 540-2959

Other names 1

  • Jamey P Dwyer Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251023002227 IL Practitioner - Clinical Social Worker 5092203711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4619 Bamburg Ave
Rockford, IL 61109-6702

6723 Weaver Rd
Suite 120
Rockford, IL 61114-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.9030306ILMDClinical Social Worker
12028-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Journeys LLC CurrentSince Oct 7, 2025 Accepting new patients

Locations

6723 Weaver Rd
Ste 120
Rockford, IL 61114
Phone (815) 216-5974

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1356916126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 WEAVER RD STE 120",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148021",
            "telephone_number": "815-540-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 WEAVER RD STE 120",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148021",
            "telephone_number": "815-540-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JAMEYLEE",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12028-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.9030306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMEY",
            "last_name": "DWYER",
            "middle_name": "P",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.