Individual provider Active NPI

Jessica Lankford, MA, LSW

  • Social Worker
  • Wilmette, IL
National Provider Identifier
1801429055
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.104108 Issued in IL
Practice address
3330 Old Glenview Rd Ste 14
Wilmette, IL 60091-2963
Phone
(312) 508-3645
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.104108 IL Primary

Addresses

Primary practice location

3330 Old Glenview Rd Ste 14
Wilmette, IL 60091-2963

Mailing address

820 Vera LN
Wheeling, IL 60090-4530

Other practice location 1

1121 Lake Cook Rd Ste A
Deerfield, IL 60015-5234
Phone (312) 508-3645 ext. 44

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
150.104108ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Light on Anxiety Social Worker CurrentSince Feb 23, 2020 Accepting new patients
Light on Anxiety, P.C. Social Worker Past Accepting new patients

Locations

3330 Old Glenview Rd
Ste 14
Wilmette, IL 60091
Phone (847) 610-6763

Organizations & group practices 2

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1801429055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 VERA LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 14",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "312-508-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Lake Cook Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600155234",
            "country_code": "US",
            "telephone_number": "312-508-3645 x44",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANKFORD",
        "first_name": "JESSICA",
        "credential": "MA, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.