Individual provider Active NPI

Camesha Lynette Jones- Brandon, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1790261907
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.021952 Issued in IL
Practice address
5022 S State St
Chicago, IL 60609-5328
Phone
(708) 292-8730
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.021952 IL Primary

Addresses

Primary practice location

5022 S State St
Chicago, IL 60609-5328

Mailing address

4747 S Saint Lawrence Ave Apt 2S
Chicago, IL 60615-1522
Phone (240) 533-2876

Other identifiers 1

IdentifierTypeStateIssuer
149021952OtherILLICENSE CLINICAL SOCIAL WORKER

Other names 1

  • Camesha Lynette Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.021952ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sista Afya Community Care NFP CurrentSince Nov 24, 2025 Accepting new patients
Sista Afya Community Care NFP Current Accepting new patients
Sista Afya Community Mental Wellness LLC Social Worker Current Accepting new patients

Locations

1750 E 71st St
Ste L
Chicago, IL 60649

5022 S State St
Chicago, IL 60609
Phone (708) 292-8730

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1790261907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 S SAINT LAWRENCE AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606151522",
            "telephone_number": "240-533-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606095328",
            "telephone_number": "708-292-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES- BRANDON",
        "first_name": "CAMESHA",
        "middle_name": "LYNETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "149021952",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMESHA",
            "last_name": "JONES",
            "middle_name": "LYNETTE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.