Individual provider Active NPI

Jane Marshall Kemp

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1659026094
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024065 Issued in IL
Practice address
405 N Wabash Ave Unit 2511
Chicago, IL 60611-5668
Phone
(312) 600-3935
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 149.024065 IL Primary

Addresses

Primary practice location

405 N Wabash Ave Unit 2511
Chicago, IL 60611-5668

Mailing address

405 N Wabash Ave Unit 2511
Chicago, IL 60611-5668

Other identifiers 1

IdentifierTypeStateIssuer
149.024065OtherILIL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janekemp@resiliencechicago.com Resilience Psychological Services, PC

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
I20221117003085 IL Practitioner - Clinical Social Worker 0941678296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Psychological Services PCGroup PAC ID 0547568891, 7 clinicians

Practice addresses (Care Compare)

303 E Wacker Dr
Suite 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.024065ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychological Services, PC CurrentSince Jul 21, 2022 Accepting new patients
Marshall Psychotherapy PLLC Clinical Current Accepting new patients

Locations

303 E Wacker Dr
Ste 1130
Chicago, IL 60601
Phone (312) 600-3935

Organizations & group practices 2

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1659026094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 2511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE UNIT 2511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115668",
            "telephone_number": "312-600-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "JANE",
        "middle_name": "MARSHALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "149.024065",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janekemp@resiliencechicago.com",
            "affiliation": "Y",
            "endpointDescription": "Provider Direct Email address",
            "affiliationName": "Resilience Psychological Services, PC",
            "address_1": "405 N Wabash Ave Unit 2511",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606115668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.