Active NPI
Jasmine Stewart, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1649037102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.026225
- Practice address
- 4538 N Beacon St
Chicago, IL 60640-5519 - Phone
- (773) 275-7200
- NPI assigned
- Mar 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.026225 | IL | Primary |
Addresses
Primary practice location
4538 N Beacon St
Chicago, IL 60640-5519
Mailing address
106 N Hillside Ave Apt 1W
Hillside, IL 60162-1562
Other practice location 1
303 E Wacker Dr Ste 1127
Chicago, IL 60601-5215
Phone (312) 328-2347
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.026225 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Clinical | Current | Accepting new patients |
Locations
4538 N Beacon St
Chicago, IL 60640
Phone (773) 275-7200
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
3450 Oakton St
Ste 300
Skokie, IL 60076
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": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1649037102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N HILLSIDE AVE APT 1W",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601621562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4538 N BEACON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405519",
"telephone_number": "773-275-7200"
}
],
"practiceLocations": [
{
"address_1": "303 E Wacker Dr Ste 1127",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606015215",
"country_code": "US",
"telephone_number": "312-328-2347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "JASMINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.026225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.