Jazmin S Davis, LSW
Individual provider Active NPI Social Worker · Steger, IL
NPI 1740990993 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1740990993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.108601 (IL)
- Practice address
- 145 E 34TH St
Steger, IL 60475-1222 - Phone
- (443) 261-6259
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.108601 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JD Wicked Solutions, PLLC | Past |
Accepting new patients | |
| Michelle L Conrad LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.108601 | IL | Yes |
Addresses
Primary practice location
145 E 34TH St
Steger, IL 60475-1222
Mailing address
145 E 34TH St
Steger, IL 60475-1222
Phone (443) 261-6259
Other providers in Steger, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.