Active NPI
Jessica April Steen, LSW
- Social Worker
- Tinley Park, IL
National Provider Identifier
1922345156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.014040
- Practice address
- 16547 Oak Park Ave
Tinley Park, IL 60477-1752 - Phone
- (708) 633-9003
- Fax
- (708) 633-1823
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.014040 | IL | Primary |
Addresses
Primary practice location
16547 Oak Park Ave
Tinley Park, IL 60477-1752
Mailing address
16547 Oak Park Ave
Tinley Park, IL 60477-1752
Phone (708) 633-9003
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.014040 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Christian Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Tinley Park, IL
- NPI 1861790883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1922345156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16547 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771752",
"telephone_number": "708-633-9003",
"fax_number": "708-633-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16547 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771752",
"telephone_number": "708-633-9003",
"fax_number": "708-633-1823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEEN",
"first_name": "JESSICA",
"middle_name": "APRIL",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.014040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.