Jaime Callan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020424 Issued in IL

Practice address

12629 W Yorkshire Dr
Homer Glen, IL 60491-6800

Phone

(708) 262-1516

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Balanced Roots Holistic Therapies, LLC

  • Clinical Social Worker
  • Tinley Park, IL
  • NPI 1134933104
  Authorized official Same address or phone

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1730908427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12629 W YORKSHIRE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916800",
            "telephone_number": "708-262-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12629 W YORKSHIRE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916800",
            "telephone_number": "708-262-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "JAIME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce G Burkhart, D.C.
• Stephanie Lynne Burkhart, PT, DPT
• C & a Testing LLC
• Kellie Calderon
• Richard Thomas Caleel, DO
• Casey Campagna
• Hollie Fay Campbell
• Ahmet Can, PH.D., LPC, NCC
• Ashley Canny
• Lauren Caratachea

• Clinical Social Worker in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.