Jessica Gwilliam, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022985 Issued in IL

Practice address

4433 N Ravenswood Ave Ste 210
Chicago, IL 60640-7755

Phone

(773) 876-8763

Fax

(872) 315-3138

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catalyst Clinical Group, Inc

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1316397979
  Medicare reassignment NPD
• The Art of Being PLLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1356115018

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1922679976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N RAVENSWOOD AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407755",
            "telephone_number": "773-876-8763",
            "fax_number": "872-315-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N RAVENSWOOD AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407755",
            "telephone_number": "773-876-8763",
            "fax_number": "872-315-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWILLIAM",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinor Osi Gwan, MD
• Adam M Gwardys, DPT
• Sarah Christine Gwazdacz, MD
• Michael Tatenda Gwede
• Gwendolyn Hickey LLC
• Kevin Thomas Gwin
• Lisa Gwin, DT
• Elizabeth Gwinn, M.D.
• Klaudia Magdalena Gwozdz, ARPN
• Ian Gyamfi Sarpong, PHARMD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.