Individual provider Active NPI

Jasmine Patrice Porter, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1659255081
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029745 Issued in IL
Practice address
1119 W 101St St
Chicago, IL 60643-2232
Phone
(708) 737-8670
NPI assigned
Jul 31, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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 149.029745 IL Primary

Addresses

Primary practice location

1119 W 101St St
Chicago, IL 60643-2232

Mailing address

1119 W 101St St
Chicago, IL 60643-2232

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
I20260115003981 IL Practitioner - Clinical Social Worker 0244717650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - IllinoisGroup PAC ID 6800263823, 45 clinicians
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

1051 Essington Rd
Suite 280
Joliet, IL 60435-2808
Phone (855) 284-7483

14255 Cicero Ave
Crestwood, IL 60418-2154
Phone (708) 371-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.029745ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Dec 13, 2025 Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

Interoperability endpoints

  • Direct secure messaging: jasmine.porter.1@11074.direct.athenahealth.com
  • Direct secure messaging: jasmine.porter.2@11074.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1659255081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 W 101ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 W 101ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432232",
            "telephone_number": "708-737-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JASMINE",
        "middle_name": "PATRICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.