Active NPI
Jennifer Nicole Wong Guidebeck
- Clinical Social Worker
- Bloomington, IL
National Provider Identifier
1790209013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3201 Clairbridge Dr
Bloomington, IL 61704-9474 - Phone
- (217) 620-5864
- NPI assigned
- Jul 28, 2017
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3201 Clairbridge Dr
Bloomington, IL 61704-9474
Mailing address
3201 Clairbridge Dr
Bloomington, IL 61704-9474
Other practice location 1
706 Oglesby Ave Suite 300
Normal, IL 61761
Phone (217) 620-5864
Other names 1
- Jennifer Guidebeck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 13, 2026 through May 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jen Guidebeck LCSW, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bloomington, IL
- NPI 1598312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1790209013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 CLAIRBRIDGE DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617049474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 CLAIRBRIDGE DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617049474",
"telephone_number": "217-620-5864"
}
],
"practiceLocations": [
{
"address_1": "706 Oglesby Ave Suite 300",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "61761",
"country_code": "US",
"telephone_number": "217-620-5864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONG GUIDEBECK",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GUIDEBECK",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.