Individual provider Active NPI

Kathleen Egan Jirasek, LCSW

  • Clinical Social Worker
  • Hickory Hills, IL
National Provider Identifier
1497349443
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014938 Issued in IL
Practice address
8824 S 82ND CT
Hickory Hills, IL 60457-1404
Phone
(708) 699-8984
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014938 IL Primary

Addresses

Primary practice location

8824 S 82ND CT
Hickory Hills, IL 60457-1404

Mailing address

8824 S 82ND CT
Hickory Hills, IL 60457-1404
Phone (708) 699-8984

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL kathleenjirasek@yahoo.com
CONNECT URL kathleenjirasek@yahoo.com

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
149.014938ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1497349443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 S 82ND CT",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571404",
            "telephone_number": "708-699-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8824 S 82ND CT",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571404",
            "telephone_number": "708-699-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRASEK",
        "first_name": "KATHLEEN",
        "middle_name": "EGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kathleenjirasek@yahoo.com",
            "affiliation": "N",
            "address_1": "8824 S 82nd Ct",
            "city": "Hickory Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604571404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kathleenjirasek@yahoo.com",
            "affiliation": "N",
            "address_1": "8824 S 82nd Ct",
            "city": "Hickory Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604571404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.