Shenese Jones, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801099743 Issued in MI

Practice address

9401 S Kostner Ave
Oak Lawn, IL 60453-2697

Phone

(708) 423-7882

Fax

(708) 423-0434

NPI assigned

Jun 1, 2020

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

Other names 1

• Mrs. Shenese Staszkiewicz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1649894064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 S KOSTNER AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532697",
            "telephone_number": "708-423-7882",
            "fax_number": "708-423-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 S KOSTNER AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532697",
            "telephone_number": "708-423-7882",
            "fax_number": "708-423-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHENESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENESE",
            "last_name": "STASZKIEWICZ",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Katherine Jonas, MD
• April Dawn Jones, D.O.
• India Jones
• Joseph M Jones Sr., APRN, CNP
• Nakia Jones
• Wesley Mary Jones, DO
• Jennifer Nicole Jordan
• Maya Kathryn Jordan, MA
• Wyeth Jess Jordan, DO
• Joseph M. Malee OD SC

• Social Worker in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.