Jacqueline Marie Shelton-Espinosa, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012728 Issued in IL

Practice address

400 W Lake St
Suite 208
Roselle, IL 60172-3574

Phone

(630) 464-8890

Fax

(630) 529-1113

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pierce Counseling and Consulting Services LLC

  • Adult Mental Health Clinic/Center
  • Oak Park, IL
  • NPI 1467324731
  Medicare reassignment

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1629261391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BAYSIDE DR",
            "address_2": "UNIT 104",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742299",
            "telephone_number": "630-464-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LAKE ST",
            "address_2": "SUITE 208",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723574",
            "telephone_number": "630-464-8890",
            "fax_number": "630-529-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON-ESPINOSA",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey G Seybold, DDS
• Arpankumar Shah, PT, DPT
• Ishani Shah
• Nihar Shah, DMD
• Richard Charles Shay, D.M.D.
• Michael Sheppard
• Arshi Siddiqui, DDS
• Grace Marie Sievers, SLP
• Siri E. Hansen, LCPC
• Smccs, Inc. (Specialized Max Care Clinical Services, Inc.)

• Clinical Social Worker in Roselle, IL
• Providers in Roselle, 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 Oct 22, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.