Jill Renee Engelmann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013875 Issued in IL

Practice address

1520 S 4TH St
Greenville, IL 62246-2618

Phone

(618) 664-1455

Fax

(618) 664-1374

NPI assigned

Feb 10, 2010

Last updated

Feb 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bond County TreasurerGroup PAC ID 0446355820, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bond County Treasurer

  • Community/Behavioral Health Agency
  • Greenville, IL
  • NPI 1437238177
  Medicare reassignment Care Compare group NPD
• Bond County Treasurer

  dba Bond County Health Department

  • Public Health or Welfare Agency
  • Greenville, IL
  • NPI 1598869182
  NPD

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1609108018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-1455",
            "fax_number": "618-664-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S 4TH ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462618",
            "telephone_number": "618-664-1455",
            "fax_number": "618-664-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMANN",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah M Einstein, MD
• Asim Elmahboub, M.D.
• Emerald Glen Managment
• Noah Emerick
• Christopher Engele
• Amanda E Ennen, FNP
• Austin James Fairchild, MFT
• Family Eye Care Association, P.C.
• Hana Filipova, M.D.
• Christy Leann Forbes, FNP

• Clinical Social Worker in Greenville, IL
• Providers in Greenville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.