Quiana Michelle Jefferson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150110997 Issued in IL

Practice address

579 W North Ave Ste 206
Elmhurst, IL 60126-2144

Phone

(630) 384-9499

Fax

(630) 324-4606

NPI assigned

Dec 14, 2023

Last updated

Dec 14, 2023By 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

Practice roles

Locations

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.

• Patchwork Therapy, PLLC

  • Clinical Social Worker
  • Elmhurst, IL
  • NPI 1821673237
  NPD

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1730957176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PARK ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439079",
            "telephone_number": "773-653-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 W NORTH AVE STE 206",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262144",
            "telephone_number": "630-384-9499",
            "fax_number": "630-324-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "QUIANA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150110997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond V Janevicius, MD
• Christine Jankowski, MD
• Marilyn J Jarosky, MD
• Catherine A Jasien, LMT
• Jeff Anthony Damico DO PLLC
• Jeffrey So Inc (Homewatch CareGivers of Elmhurst)
• Jeffrey W Chandler DDS MD PC
• Annalisa Stallone Jelonek
• Mia Jelovac, PA-C
• Nelson Jenig, LSW

• Social Worker in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.