Active NPI
Jennifer Lynne Buggeln, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015532
- Practice address
- 1255 S Michigan Ave Apt 907
Chicago, IL 60605-3295 - Phone
- (480) 330-6284
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 149015532 | IL | Primary |
Addresses
Primary practice location
1255 S Michigan Ave Apt 907
Chicago, IL 60605-3295
Mailing address
1255 S Michigan Ave Apt 907
Chicago, IL 60605-3295
Phone (480) 330-6284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015532 | IL | MD | Clinical Social Worker |
| 112039 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Post Acute Care PLLC | Clinical | Current | Accepting new patients |
| Mpac SMH of California PC | Clinical | Current | Accepting new patients |
| Midwest Post-Acute Care of California PC | Clinical | Current | Accepting new patients |
Locations
5454 Walnut Ave
Chino, CA 91710
Phone (760) 450-5679
1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109
6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668
4681 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 257-8151
1575 Skyline Dr
Monterey, CA 93940
Phone (831) 373-2731
3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842
501 Jessie Ave
Sacramento, CA 95838
Phone (916) 922-8855
600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656
830 E Chapel St
Santa Maria, CA 93454
Phone (805) 544-5100
6940 Pacific Ave
Stockton, CA 95207
Phone (209) 477-0817
27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858
250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333
7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422
8605 Santa Monica Blvd
West Hollywood, CA 90069
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
Organizations & group practices 3
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": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1659877876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 S MICHIGAN AVE APT 907",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053295",
"telephone_number": "480-330-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S MICHIGAN AVE APT 907",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053295",
"telephone_number": "480-330-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGGELN",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015532",
"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 Apr 5, 2018; 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.