Ibi Jessica Jeremiah, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017398 Issued in IL

Practice address

8029 S Paxton Ave
Chicago, IL 60617-1159

Phone

(414) 530-3850

NPI assigned

Dec 19, 2016

Sex

Female

Sole proprietor

Yes

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K.a.M Alliance, Inc.Group PAC ID 7315085289, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• K.a.M Alliance, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1003046152

  IL

  Medicare reassignment Care Compare group NPD
• Orange Tree Counseling and Consulting, LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1508452434

  Clinical

  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1477097962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 S. PAXTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171159",
            "telephone_number": "414-530-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 S PAXTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171159",
            "telephone_number": "414-530-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMIAH",
        "first_name": "IBI",
        "middle_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Jeong, PA
• Stella J Jeong
• Yunseo Jeong, M.D.
• Tertia Abigail Jeppson
• Ernest Jercinovic, D.D.S.
• Jeremy Bonsol,LLC
• Jeremy Leimback DC PC
• Daniel B Jerez, L.C.S.W.
• McKenna Jerger
• Nancy M Jerger, RD, RN, CNSD, LDN

• All providers in Chicago, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.