JESSICA L WILEY (NPI# 1356850457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356850457 |
| Entity Type | Individual |
| Full Name | JESSICA L WILEY |
| Credential | LSW |
| Practice Address |
701 Devonshire Dr Ste B16-18 Champaign IL 61820-7337 |
| Practice Telephone | (217) 531-2360 |
| Practice Fax Number | 2173522635 |
| Mailing Telephone | 2175312360 |
| Mailing Fax Number | 2173522635 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
150.101417 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645690 | Jessica M Wiley | Pharmacist | 116 Carnival Dr, Taneytown, MD 21787-2178 | 2018-10-17 |
| 1336588086 | Jessica Moersch Wiley | Nurse Practitioner | 200 6th Ave S, Birmingham, AL 35205-3215 | 2013-06-17 |
| 1073844098 | Jessica Wiley | Pharmacist | 4620 Woody Mill Rd Ste B, Greensboro, NC 27406-8779 | 2010-01-15 |
| 1881176626 | Jessica Lynn Wiley | Counselor | 210 Church St, Saratoga Springs, NY 12866-1010 | 2018-08-29 |
| 1235644139 | Jessica Wiley | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-13 |
| 1326448580 | Jessica Wiley | Case Manager/Care Coordinator | 201 3rd St, 7th Floor, San Francisco, CA 94103-3143 | 2014-08-25 |
| 1851733190 | Jessica L Wiley | Physical Therapist | 7590 Fay Ave, Suite 5252, La Jolla, CA 92037-4885 | 2013-07-29 |
| Street Address |
701 DEVONSHIRE DR STE B16-18 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315232 | Aileen Valdovinos | Counselor | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2020-01-23 |
| 1932759396 | Cassidy Awalt | Counselor | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2019-09-18 |
| 1467939710 | Dustun E Rhea | Counselor | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2018-07-19 |
| 1669965042 | Samantha Leann Spellman | Social Worker | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2018-06-11 |
| 1003320110 | Marie Duffin | Counselor | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2017-11-28 |
| 1659884443 | Kasey Renay Wells | Counselor | 701 Devonshire Dr Ste B16-18, Champaign, IL 61820-7337 | 2017-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759620 | Telos Health and Wellness Services, LLC | Social Worker | 907 W Marketview Dr Ste 10, Champaign, IL 61822-1250 | 2020-08-03 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1932730835 | Katina Wilcher | Social Worker | 609 Crestwood Dr, Champaign, IL 61822-7369 | 2020-01-29 |
| 1417596685 | Heather Johnson | Social Worker | 1815 Crescent Dr, Champaign, IL 61821-5829 | 2020-01-05 |
| 1518425230 | Kc Counseling, LLC | Social Worker | 206 N Randolph St Ste 508, Champaign, IL 61820-3949 | 2019-03-12 |
| 1134692536 | Felicia Huiyan Li | Social Worker | 3115 Village Office Pl, Champaign, IL 61822-7673 | 2019-01-08 |
| 1528575958 | David H. Crowley and Associates Ltd | Social Worker | 100 N Chestnut St Ste 231, Champaign, IL 61820-4856 | 2018-01-08 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1770938359 | Champaign Counseling LLC | Social Worker | 313 N Mattis Ave Ste 209, C/o Erik Olson, Champaign, IL 61821-2461 | 2016-05-02 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.