JESSENIA BRISENO
NPI 1407560204
Social Worker in Chicago, IL

Active since January 06, 2023PECOS Enrolled
4058 W 63RD ST, CHICAGO, IL 60629(773) 584-6200 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2023, Jan 6, 2023 (2 updates tracked since 2023).

About Jessenia Briseno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSENIA BRISENO (NPI 1407560204) is an individual social worker in Chicago, Illinois, licensed in Illinois (150.105615) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407560204
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJESSENIA BRISENO
Location Address4058 W 63RD STChicago, IL 60629-4639
Mailing Address2304 S Saint Louis AveChicago, IL 60623-3144 · (773) 320-7381
Sole ProprietorNo
Enumeration DateJanuary 6, 2023
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1407560204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in IL · 150.105615
Definition
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.
4058 W 63RD ST, Chicago, IL 60629

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessenia Briseno is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4058 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Federally Qualified Health Center (FQHC))
4058 W 63RD ST
CHICAGO, IL 60629
Social Worker
4058 W 63RD ST
CHICAGO, IL 60629
Pediatrics
4058 W 63RD ST
CHICAGO, IL 60629
Clinical Medical Laboratory
4058 W 63RD ST
CHICAGO, IL 60629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessenia Briseno's NPI number?

The NPI number for Jessenia Briseno is 1407560204. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Jessenia Briseno located?

Jessenia Briseno practices at 4058 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 584-6200.

What is Jessenia Briseno's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jessenia Briseno enrolled in Medicare?

Yes. Jessenia Briseno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessenia Briseno was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.