Jennifer Bushey
Individual provider Active NPI Social Worker · Watseka, IL
NPI 1821800947 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1821800947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 323 W Mulberry St
Watseka, IL 60970-1568 - Phone
- (815) 432-5241
- NPI assigned
- Jan 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
323 W Mulberry St
Watseka, IL 60970-1568
Mailing address
PO Box 322
Watseka, IL 60970-0322
NPI Registry JSON
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1821800947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609700322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W MULBERRY ST",
"city": "WATSEKA",
"state": "IL",
"postal_code": "609701568",
"telephone_number": "815-432-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHEY",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watseka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.