Jillian Jones, LCSW

Individual provider Active NPI Clinical Social Worker · Minooka, IL

NPI 1497516132 · NPPES record last updated Jan 19, 2024

Key facts

NPI
1497516132
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.018008 (IL)
Practice address
4745 E Sherrill Rd
Minooka, IL 60447-9921
Phone
(931) 356-8059
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149.018008ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.018008 IL Yes

Addresses

Primary practice location

4745 E Sherrill Rd
Minooka, IL 60447-9921

Mailing address

9007 Safe Haven PL
Spring Hill, TN 37174-6420
Phone (815) 573-4551

Other providers in Minooka, IL

All providers in Minooka, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.