Individual provider Active NPI

Jasmine Baggett

  • Clinical Social Worker
  • Frankfort, IL
National Provider Identifier
1780342311
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025929 Issued in IL
Practice address
20015 S Lagrange Rd
Frankfort, IL 60423-3104
Phone
(773) 340-9622
NPI assigned
Dec 1, 2021
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 150107185 IL
Clinical Social Worker 1041C0700X 149.025929 IL Primary

Addresses

Primary practice location

20015 S Lagrange Rd
Frankfort, IL 60423-3104

Mailing address

6920 W 65TH St Apt 8
Bedford Park, IL 60638-4675
Phone (773) 621-8135

Other practice location 1

6920 W 65th St Apt 8
Bedford Park, IL 60638-4675
Phone (773) 621-8135

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
I20240109002674 IL Practitioner - Clinical Social Worker 1658722137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150107185ILMDSocial Worker
149.025929ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Nov 1, 2024 Accepting new patients
Mosaic Counseling and Wellness LLC CurrentSince Sep 29, 2023 Accepting new patients
Serene Minds Therapy and Wellness Clinical Current Accepting new patients
Cartwheel Health Services PC Clinical Past Accepting new patients

Locations

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

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

20015 S Lagrange Rd
Frankfort, IL 60423
Phone (708) 554-3917

9501 W 144th Pl
Ste 304
Orland Park, IL 60462
Phone (708) 628-8000

Organizations & group practices 4

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1780342311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 W 65TH ST APT 8",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606384675",
            "telephone_number": "773-621-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20015 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233104",
            "telephone_number": "773-340-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6920 W 65th St Apt 8",
            "address_purpose": "LOCATION",
            "city": "Bedford Park",
            "state": "IL",
            "postal_code": "606384675",
            "country_code": "US",
            "telephone_number": "773-621-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150107185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.