Individual provider Active NPI

Caren Jeskey, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1629401120
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015559 Issued in IL
Practice address
30 N Michigan Ave Ste 1927
Chicago, IL 60602-3614
Phone
(312) 583-9642
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 60948 TX
Clinical Social Worker 1041C0700X 149015559 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1927
Chicago, IL 60602-3614

Mailing address

30 N Michigan Ave Ste 1927
Chicago, IL 60602-3614
Phone (312) 583-9642

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
I20200729000034 IL Practitioner - Clinical Social Worker 3476890260 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Wellness Center, PLLCGroup PAC ID 0941275267, 6 clinicians

Practice addresses (Care Compare)

2604 Dempster St
Suite 402
Park Ridge, IL 60068-8438
Phone (847) 318-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149015559ILMDClinical Social Worker
60948TXMDPulmonary Rehabilitation Certified Respiratory Therapist

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1629401120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1927",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023614",
            "telephone_number": "312-583-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1927",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023614",
            "telephone_number": "312-583-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKEY",
        "first_name": "CAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-05-05",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60948",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.