Jill Nicole Fletcher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11625 S Decathalon LN
Plainfield, IL 60585-6144

Phone

(815) 955-4012

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Talkspace

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1033785977

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1639748015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 S DECATHALON LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856144",
            "telephone_number": "815-955-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 S DECATHALON LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605856144",
            "telephone_number": "815-955-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JILL",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.fletcher@talkspace.com",
            "affiliation": "N",
            "endpointDescription": "employment email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11625 S Decathalon Ln",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605856144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• First Podiatry Center PC
• Jeffrey Walter Fish, LCSW
• Ryan Fitzgerald, D.O.
• Suzanne Fleck, PHARM D
• Shamia Fleming
• Kristin Fletcher
• Christine Flores
• Fernando Flores, DPT
• Foot and Ankle Specialists, PC
• Stephanie Forster, LCSW

• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, 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 Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.