Individual provider Active NPI

Jessica Clapp, LCSW

  • Clinical Social Worker
  • Monticello, IL
National Provider Identifier
1982375309
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
Kirby Medical Group
1000 Medical Center Dr.
Monticello, IL 61856
Phone
(217) 762-6241
NPI assigned
Sep 24, 2021
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

Kirby Medical Group
1000 Medical Center Dr.
Monticello, IL 61856

Mailing address

Kirby Medical Group
1000 Medical Center Dr.
Monticello, IL 61856
Phone (217) 762-6241

Other practice location 1

407 S Jackson St Ste A
Cerro Gordo, IL 61818-4360
Phone (217) 763-6012

Other practice location 2

100 E US Highway 36
Atwood, IL 61913-7233
Phone (217) 578-3814

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jclapp@kmc.kirbymedicalcenter.net Direct

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
I20211007002768 IL Practitioner - Clinical Social Worker 9133527989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirby Medical CenterGroup PAC ID 6901791144, 80 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kirby Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Kirby Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Kirby Medical Center Past Accepting new patients

Locations

100 E US Highway 36
Atwood, IL 61913
Phone (217) 578-2850

407 S Jackson St
Ste A
Cerro Gordo, IL 61818
Phone (217) 763-6010

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1000 Medical Center Dr
Ste A
Monticello, IL 61856

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1982375309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KIRBY MEDICAL GROUP",
            "address_2": "1000 MEDICAL CENTER DR.",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "61856",
            "telephone_number": "217-762-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KIRBY MEDICAL GROUP",
            "address_2": "1000 MEDICAL CENTER DR.",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "61856",
            "telephone_number": "217-762-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 S Jackson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cerro Gordo",
            "state": "IL",
            "postal_code": "618184360",
            "country_code": "US",
            "telephone_number": "217-763-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E US Highway 36",
            "address_purpose": "LOCATION",
            "city": "Atwood",
            "state": "IL",
            "postal_code": "619137233",
            "country_code": "US",
            "telephone_number": "217-578-3814",
            "fax_number": "217-578-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAPP",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jclapp@kmc.kirbymedicalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Kirby Medical Group",
            "address_2": "1000 Medical Center Dr.",
            "city": "MONTICELLO",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.