Individual provider Active NPI

Jessica Samperio, MSW, LCSW, PEL

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1427769306
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149023478 Issued in IL
Practice address
1816 W Chase Ave Apt 2
Chicago, IL 60626-2384
Phone
(312) 552-3173
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 2570197 IL
Clinical Social Worker 1041C0700X 149023478 IL Primary

Addresses

Primary practice location

1816 W Chase Ave Apt 2
Chicago, IL 60626-2384

Mailing address

1816 W Chase Ave Apt 2
Chicago, IL 60626-2384
Phone (312) 523-1730

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

LicenseStateTypeSpecialty
149023478ILMDClinical Social Worker
2570197ILMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Healing Therapy Center, PLLC Clinical CurrentSince Feb 1, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1427769306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 W CHASE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262384",
            "telephone_number": "312-523-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 W CHASE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262384",
            "telephone_number": "312-552-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPERIO",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW, PEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2570197",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.