Individual provider Active NPI

Jeffrey Scott Bram, MSW, LCSW

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1679752943
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009126 Issued in IL
Practice address
16519 S Rte 59
Plainfield, IL 60586-2607
Phone
(630) 646-5026
Fax
(630) 646-5025
NPI assigned
Nov 2, 2007
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 149009126 IL Primary

Addresses

Primary practice location

16519 S Rte 59
Plainfield, IL 60586-2607

Mailing address

16519 S Route 59
Plainfield, IL 60586-2607

Other practice location 1

1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Phone (630) 394-1379

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbram19336@direct.edward.org Direct

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
I20080102000628 IL Practitioner - Clinical Social Worker 9133209299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149009126ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Counseling PLLC Clinical CurrentSince Aug 12, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 30, 2024 Accepting new patients
Edward Health Ventures CurrentSince Oct 28, 2015 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 30, 2024 Accepting new patients
Edward Health Ventures CurrentSince Oct 28, 2015 Accepting new patients
Riverside Psychiatric & Counseling P C Clinical Past Accepting new patients
Edward Health Ventures Past Accepting new patients

Locations

1315 N Highland Ave
Ste 202
Aurora, IL 60506
Phone (630) 394-1379

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

16519 S Route 59
Plainfield, IL 60586
Phone (630) 646-5020

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Organizations & group practices 7

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1679752943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 S ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 S RTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862607",
            "telephone_number": "630-646-5026",
            "fax_number": "630-646-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 N Highland Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605061460",
            "country_code": "US",
            "telephone_number": "630-394-1379",
            "fax_number": "331-239-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAM",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbram19336@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16519 S Rte 59",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605862607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.