Jessica Ann Osullivan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.025757 Issued in IL

Practice address

9501 W 144TH PL Ste 304
Orland Park, IL 60462-2564

Phone

(708) 704-8610

NPI assigned

Nov 20, 2023

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

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Counseling and Wellness LLCGroup PAC ID 1355728353, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mosaic Counseling and Wellness LLC

  dba Mosaic Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
  • NPI 1851065502
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1376318402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 W. 125TH PLACE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608036080",
            "telephone_number": "708-704-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W 144TH PL STE 304",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622564",
            "telephone_number": "708-704-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5936 W 125th Pl",
            "address_purpose": "LOCATION",
            "city": "Alsip",
            "state": "IL",
            "postal_code": "608033512",
            "country_code": "US",
            "telephone_number": "708-704-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSULLIVAN",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthomidwest, PLLC
• Orthotic Prosthetic Specialists, Inc.
• Vivienne A Oskvarek, MA LCPC CADC MISA II
• Omnia Osman, LPC
• Ayodele Osowo, MD
• Otto J. Tor, D.D.S., LTD.
• Matthew James Ouradnik, OTR
• Raed Ihab Oweisi, DMD
• Christian B Oyibe
• P. Gregory Striegel, MD. LTD

• Clinical Social Worker in Orland Park, IL
• Providers in Orland Park, 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 Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.