Individual provider Active NPI

Jill Early, LCSW

  • Clinical Social Worker
  • Warrenville, IL
National Provider Identifier
1891985495
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4300 Weaver Pkwy Ste 100a
Warrenville, IL 60555-3920
Phone
(630) 416-8289
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Marriage & Family Therapist 106H00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4300 Weaver Pkwy Ste 100a
Warrenville, IL 60555-3920

Mailing address

703 Emmert Dr
Sycamore, IL 60178-2019
Phone (630) 947-4271

Other practice location 1

703 Emmert Dr
Sycamore, IL 60178-2019
Phone (630) 947-4271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000075 IL Practitioner - Clinical Social Worker 1153374376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jill M Early LLCGroup PAC ID 1850834482, 4 clinicians
Conventions Psychiatry and Counseling PCGroup PAC ID 0143113027, 17 clinicians

Practice addresses (Care Compare)

703 Emmert Dr
Sycamore, IL 60178-2019
Phone (630) 947-4271

8540 S Harlem Ave
Bridgeview, IL 60455-1778
Phone (708) 598-2605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conventions Psychiatry & Counseling, P.C. CurrentSince Jun 1, 2007 Accepting new patients
Jill M Early LLC Social Worker CurrentSince May 12, 2024 Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

8540 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 594-5440

1560 Wall St
Ste 304
Naperville, IL 60563
Phone (630) 355-1533

4S100 N Route 59
Ste 6
Warrenville, IL 60563
Phone 6304168289 ext. 2

4300 Weaver Pkwy
Ste 100A
Warrenville, IL 60555
Phone (630) 624-7098

4300 Weaver Pkwy
Ste 100
Warrenville, IL 60555

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1891985495",
    "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": "4300 WEAVER PKWY STE 100A",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553920",
            "telephone_number": "630-416-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Emmert Dr",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601782019",
            "country_code": "US",
            "telephone_number": "630-947-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLY",
        "first_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.