Individual provider Active NPI

Joslyn Kaye Jelinek, LCSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1679555312
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149009174 Issued in IL
Practice address
7231 1/2 N Sheridan Rd
Chicago, IL 60626-2612
Phone
(773) 517-3448
Fax
(773) 262-9929
NPI assigned
Nov 17, 2005
Last updated
Nov 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149009174 IL Primary
Pharmacy Technician 183700000X 049158891 IL

Addresses

Primary practice location

7231 1/2 N Sheridan Rd
Chicago, IL 60626-2612

Mailing address

7231 1/2 N Sheridan Rd
Chicago, IL 60626-2612
Phone (773) 517-3448

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
I20061023000408 IL Practitioner - Clinical Social Worker 2163428293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049158891ILMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Jan 18, 2024 Accepting new patients
Chicago Human Potential PC Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7200 N Sheridan Rd
Chicago, IL 60626
Phone (312) 880-0085

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1679555312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 1/2 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262612",
            "telephone_number": "773-517-3448",
            "fax_number": "773-262-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 1/2 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262612",
            "telephone_number": "773-517-3448",
            "fax_number": "773-262-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELINEK",
        "first_name": "JOSLYN",
        "middle_name": "KAYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149009174",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049158891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.