Active NPI
Rebecca Jenkins
- Clinical Social Worker
- Skokie, IL
National Provider Identifier
1881032977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 8324 Skokie Blvd
Skokie, IL 60077-2545 - Phone
- (847) 933-0051
- NPI assigned
- Jun 11, 2013
- Last updated
- Jul 31, 2018
- 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
8324 Skokie Blvd
Skokie, IL 60077-2545
Mailing address
8324 Skokie Blvd
Skokie, IL 60077-2545
Other practice location 1
323 W Mulberry St
Watseka, IL 60970-1568
Phone (815) 432-5241 ext. 262
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1881032977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8324 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8324 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772545",
"telephone_number": "847-933-0051"
}
],
"practiceLocations": [
{
"address_1": "323 W Mulberry St",
"address_purpose": "LOCATION",
"city": "Watseka",
"state": "IL",
"postal_code": "609701568",
"country_code": "US",
"telephone_number": "815-432-5241 x262",
"fax_number": "815-432-4537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.