Individual provider Active NPI

Jillion Caldwell, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1609755131
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022503 Issued in IL
Practice address
4700 N Ravenswood Ave Ste C
Chicago, IL 60640-8098
Phone
(773) 754-7441
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 149022503 IL Primary

Addresses

Primary practice location

4700 N Ravenswood Ave Ste C
Chicago, IL 60640-8098

Mailing address

2650 Grunewald St
Blue Island, IL 60406-1511

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250918002962 IL Practitioner - Clinical Social Worker 0446754865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chicago Center for Integration and Healing LTDGroup PAC ID 6002295755, 6 clinicians

Practice addresses (Care Compare)

4700 N Ravenswood Ave
Suite C
Chicago, IL 60640-8098
Phone 77375474412500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Center for Integration and Healing LTD CurrentSince Sep 11, 2025 Accepting new patients

Locations

4700 N Ravenswood Ave
Ste C
Chicago, IL 60640
Phone (773) 230-7811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1609755131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 GRUNEWALD ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N RAVENSWOOD AVE STE C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408098",
            "telephone_number": "773-754-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JILLION",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.