Active NPI
Jacqueline Ojiemwen, LSW
- Social Worker
- Westchester, IL
National Provider Identifier
1477322477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.112412
- Practice address
- 909 Bristol Ave Ste B
Westchester, IL 60154-2707 - Phone
- (312) 415-7689
- NPI assigned
- Jan 1, 2024
- Last updated
- Jan 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 150.112412 | IL | Primary |
Addresses
Primary practice location
909 Bristol Ave Ste B
Westchester, IL 60154-2707
Mailing address
909 Bristol Ave Ste B
Westchester, IL 60154-2707
Phone (312) 415-7689
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 |
|---|---|---|---|
| 150.112412 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704067200000",
"number": "1477322477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 BRISTOL AVE STE B",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542707",
"telephone_number": "312-415-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 BRISTOL AVE STE B",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542707",
"telephone_number": "312-415-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJIEMWEN",
"first_name": "JACQUELINE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-01",
"last_updated": "2024-01-01",
"certification_date": "2024-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.112412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.