Individual provider Active NPI

Briana Wesclitz

  • Clinical Social Worker
  • Orland Park, IL
National Provider Identifier
1649042201
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.112105 Issued in IL
Practice address
10660 W 143Rd St
Orland Park, IL 60462-1982
Phone
(815) 258-0950
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 150.112105 IL Primary

Addresses

Primary practice location

10660 W 143Rd St
Orland Park, IL 60462-1982

Mailing address

10660 W 143Rd St
Orland Park, IL 60462-1982

Other practice location 1

21 S White St Unit 3
Frankfort, IL 60423-4007
Phone (815) 258-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.112105ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lola'S Life Changes Current Accepting new patients

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1649042201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621982",
            "telephone_number": "815-258-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S White St Unit 3",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604234007",
            "country_code": "US",
            "telephone_number": "815-258-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESCLITZ",
        "first_name": "BRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.112105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.