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DE'JUAN ELLSWORTH NPI 1467821587


NPI Information

NPI: 1467821587
Provider Name: DE'JUAN ELLSWORTH
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Individual
Address:
2310 W ROOSEVELT RD
CHICAGO, IL
ZIP 60608
Phone: (312) 566-4500
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De'juan Ellsworth is a case manager care coordinator in Chicago, IL. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. De'juan Ellsworth NPI is 1467821587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2310 W ROOSEVELT RD
CHICAGO, IL
ZIP 60608-131
Phone: (312) 566-4500

The enumeration date for this NPI number is 9/18/2015 and was last updated on 5/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLOUISIANANo
2101Y00000XCounselor362170821ILLINOISNo
3171M00000XCase Manager/Care CoordinatorLOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.