Active NPI
Jill M Early LLC
- Clinical Social Worker
- Sycamore, IL
National Provider Identifier
1790467751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JILL M EARLY LLC
- Practice address
- 703 Emmert Dr
Sycamore, IL 60178-2019 - Phone
- (630) 947-4271
- NPI assigned
- Aug 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Early, LCSW
- Title
- Owner
- Phone
- (630) 947-4271
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
703 Emmert Dr
Sycamore, IL 60178-2019
Mailing address
703 Emmert Dr
Sycamore, IL 60178-2019
Phone (630) 947-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Warrenville, IL
- NPI 1891985495
-
- Professional Counselor
- Arlington Heights, IL
- NPI 1982906970
-
- Clinical Social Worker
- Sycamore, IL
- NPI 1982248167
-
- Mental Health Counselor
- Aurora, IL
- NPI 1437847175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1790467751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 EMMERT DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601782019",
"telephone_number": "630-947-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 EMMERT DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601782019",
"telephone_number": "630-947-4271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL M EARLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "EARLY",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-947-4271",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.