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NPI Code Detail

MEDICARE: JESSICA JONES LCSW, CADC

MEDICARE: JESSICA JONES LCSW, CADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.027514IL
2101YA0400XAddiction (Substance Use Disorder) Counselor36502IL
3104100000XSocial Worker150.108048IL

General Provider Information

NPI Number : 1184343642
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JONES LCSW, CADC
Provider Business Mailing Address
First Line : 231 SIERRA PASS DR
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60194-4982
Country : US
Telephone Number : 847-293-5830
Fax Number :
Provider Business Practice Location Address
First Line : 44 N VIRGINIA ST STE 2A
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-4154
Country : US
Telephone Number : 815-575-8860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2022
Last Update Date : 01/12/2026

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