Active NPI
Jennifer Liliani Whitesides, MSW
- Social Worker
- Glen Ellyn, IL
National Provider Identifier
1427253194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 45 S Park Blvd
Ste 255
Glen Ellyn, IL 60137-6280 - Phone
- (630) 942-8803
- NPI assigned
- Jun 20, 2007
- 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 | WI | Primary |
Addresses
Primary practice location
45 S Park Blvd
Ste 255
Glen Ellyn, IL 60137-6280
Mailing address
1597 S Moorland Rd
#104
New Berlin, WI 53151-1583
Phone (407) 301-9031
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 |
|---|---|---|---|
| 127134-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Ellyn, IL
- NPI 1346402302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427253194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1597 S MOORLAND RD",
"address_2": "#104",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531511583",
"telephone_number": "407-301-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S PARK BLVD",
"address_2": "STE 255",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376280",
"telephone_number": "630-942-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDES",
"first_name": "JENNIFER",
"middle_name": "LILIANI",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.