MS. JESSICA DOYLE WALL (NPI# 1508910308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508910308 |
| Entity Type | Individual |
| Full Name | MS. JESSICA DOYLE WALL |
| Credential | A.M., LCSW |
| Practice Address |
803a N Harlem Ave Suite 2n Oak Park IL 60302-1627 |
| Practice Telephone | 7083835940 |
| Practice Fax Number | 7083835940 |
| Mailing Telephone | 7083835940 |
| Mailing Fax Number | 7083835940 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01622512 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184065930 | Jessica Lauren Wall | Family Medicine | 2575 E Bidwell St Ste 250, Folsom, CA 95630-6447 | 2013-07-09 |
| 1285191882 | Jessica Lynn Wall | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2019-03-01 |
| 1518266717 | Jessica Jeanne Wall | Emergency Medicine | 51 N 39th St, Myrin - M01, Philadelphia, PA 19104-2640 | 2011-03-28 |
| 1891005658 | Jessica Wall | Speech-Language Pathologist | 1270 Kings Hwy, Lewes, DE 19958-1735 | 2010-10-14 |
| Street Address |
803A N HARLEM AVE SUITE 2N |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| 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 |
|---|---|---|---|---|
| 1720695091 | Carri Rene Griffin | Social Worker | 23221 Republic Ave, Oak Park, MI 48237-2355 | 2020-09-30 |
| 1336753318 | Jesenia Chavez | Social Worker | 715 Lake St Ste 720&800, Oak Park, IL 60301-1422 | 2020-09-07 |
| 1295349322 | Adriel Lechner | Social Worker | 12740 Sterling Ct, Oak Park, MI 48237-2140 | 2020-09-05 |
| 1255942660 | Suzanne Gervais Trezevant | Social Worker | 715 Lake St Ste 417, Oak Park, IL 60301-1413 | 2020-08-11 |
| 1003439795 | Amanda Hensley | Social Worker | 220 S Maple Ave Apt 40, Oak Park, IL 60302-3031 | 2020-05-28 |
| 1437770500 | Counseling At Shill Partners | Social Worker | 532 Highland Ave, Oak Park, IL 60304-1523 | 2020-04-30 |
| 1942820311 | Dawn Mondschein | Social Worker | 908 S Kenilworth Ave, Oak Park, IL 60304-1913 | 2020-04-25 |
| 1023642634 | Lisa M Makely | Social Worker | 715 Lake St Ste 700, Oak Park, IL 60301-1416 | 2020-02-24 |
| 1700426947 | Colleen Kurtz | Social Worker | 1011 Lake St Ste 215, Oak Park, IL 60301-1137 | 2020-01-15 |
| 1538709225 | Tatiana Rohner | Social Worker | 329 Chestnut Ln, Oak Park, IL 60302-4402 | 2020-01-09 |
| Find all providers in OAK PARK | ||||
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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.