Individual provider Active NPI

Jennifer Lynne Buggeln, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1659877876
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015532 Issued in IL
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

Updated by the provider on Apr 5, 2018

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 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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211203001390 IL Practitioner - Clinical Social Worker 6901296094 Reassigns benefits to 1 organization
I20230406002493 CA Practitioner - Clinical Social Worker 6901296094 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149015532ILMDClinical Social Worker
112039CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical CurrentSince Sep 1, 2021 Accepting new patients
Mpac SMH of California PC Clinical CurrentSince Jan 3, 2023 Accepting new patients
Midwest Post-Acute Care of California PC Clinical CurrentSince Jul 31, 2023 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

Verify at the official NPI Registry.