Active NPI
Jaclyn Hood
- School Social Worker
- Schiller Park, IL
National Provider Identifier
1528587318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 1896016
- Practice address
- 3945 Wehrman
Schiller Park, IL 60176 - Phone
- (847) 671-0250
- NPI assigned
- Sep 13, 2017
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 1896016 | IL | Primary |
Addresses
Primary practice location
3945 Wehrman
Schiller Park, IL 60176
Mailing address
3945 Wehrman Ave
Schiller Park, IL 60176-1814
Phone (847) 671-0250
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 |
|---|---|---|---|
| 1896016 | IL | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528587318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 WEHRMAN AVE",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "601761814",
"telephone_number": "847-671-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 WEHRMAN",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "60176",
"telephone_number": "847-671-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "JACLYN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IL",
"license": "1896016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schiller Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.