MS. JESSICA BETH BERG (NPI# 1003210097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003210097 |
| Entity Type | Individual |
| Full Name | MS. JESSICA BETH BERG |
| Credential | B.A., MHP |
| Practice Address |
2025 Washington St Waukegan IL 60085-5131 |
| Practice Telephone | 8473601020 |
| Practice Fax Number | 8473601020 |
| Mailing Telephone | 8473601020 |
| Mailing Fax Number | 8473601065 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572219 | Jessica Hanson Berg | Physician Assistant | 808 S Buchanan St, Amarillo, TX 79101-3604 | 2012-02-02 |
| 1063041705 | Jessica Jo Berg | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-04-04 |
| 1891346755 | Jessica Lynn Berg | Nurse Anesthetist, Certified Registered | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-09-23 |
| 1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
| 1003355611 | Jessica Danielle Berg | Licensed Vocational Nurse | 2801 Meadow Lark Dr, San Diego, CA 92123-2709 | 2017-02-15 |
| 1770930208 | Jessica Berg | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2016-05-13 |
| 1194971127 | Jessica Berg | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2008-08-11 |
| 1760696942 | Jessica Jo Berg | Audiologist | 1220 Division Ave, Tacoma, WA 98403-1321 | 2007-05-09 |
| 1821155771 | Jessica Maree Berg | Counselor | 15600 Redmond Way, Suite 101, Redmond, WA 98052-3862 | 2007-01-02 |
| Street Address |
2025 WASHINGTON ST |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174709810 | Independence Center, Inc. | Case Management | 2025 Washington St, Waukegan, IL 60085-5131 | 2008-01-11 |
| 1316547656 | Keli R Poppe | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-27 |
| 1780283184 | Justin Kimbel | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-19 |
| 1588262109 | Anna Bridget Crofts | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-15 |
| 1790383511 | Lorraine Eileen Waller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1508464330 | Theresa Lynn Mugerditchian | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1184222135 | Paul Mazzetta | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-13 |
| 1679171789 | Madison Lapidus | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-12 |
| 1588270656 | Alona Diane Miller | Counselor | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-09-23 |
| 1649895699 | Amber Hamby | Psychologist | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528436839 | William Ryan O'donnell | Social Worker | 1091 S Talcott Dr, Waukegan, IL 60085-8605 | 2015-09-03 |
| 1467844035 | Chrisann Marie Caliendo | Social Worker | 2025 Washington St., Waukegan, IL 60085-5131 | 2015-02-19 |
| 1780283184 | Justin Kimbel | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-19 |
| 1588262109 | Anna Bridget Crofts | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-15 |
| 1508464330 | Theresa Lynn Mugerditchian | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-14 |
| 1184222135 | Paul Mazzetta | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-13 |
| 1679171789 | Madison Lapidus | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-10-12 |
| 1073124269 | Erika Denny | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-12 |
| 1558972836 | Dawid Tryba | Social Worker | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2020-08-11 |
| 1154953586 | Leslie Stephanie Maitland-mitchell | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2020-02-04 |
| Find all providers in WAUKEGAN | ||||
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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.