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DE'JUAN ELLSWORTH
NPI 1467821587
Case Manager/Care Coordinator in Chicago, IL

Active since September 18, 2015
2310 W ROOSEVELT RD, CHICAGO, IL 60608(312) 566-4500 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About De'juan Ellsworth NPPES

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

DE'JUAN ELLSWORTH (NPI 1467821587) is an individual case manager/care coordinator provider in Chicago, Illinois and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1467821587
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDE'JUAN ELLSWORTH
Location Address2310 W ROOSEVELT RDChicago, IL 60608-1131
Mailing Address3604 Canal StNew Orleans, LA 70119-6111 · (504) 822-4333
Phone(312) 566-4500
Sole ProprietorNo
Enumeration DateSeptember 18, 2015
Last NPPES UpdateMay 11, 2018
✔ NPI 1467821587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
Also ListedCounselorTaxonomy 101Y00000X · License 362170821 (IL)
2310 W ROOSEVELT RD, Chicago, IL 60608
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Other Providers at the Same Location NPPES 20

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

KAITLIN RAE DEBLASIO
Counselor (Mental Health)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 655-7191
MCKENZIE WILLIAMS-UTLEY
Counselor (Mental Health)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (317) 341-4640
MEGHAN RYAN
Counselor (Professional)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 566-4528
MISS FELIPA ROMAN BA
Social Worker
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 948-6536
LAURA CECILIA CABALLERO
Social Worker (Clinical)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 339-2117
YANIRA ROMAN
Social Worker
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 566-4525
OLAKUNBI OYEDELE LCPC, CADC
Counselor (Mental Health)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (773) 922-7212
KAHEA DYVONNE SAMMONS
Counselor (Professional)
2310 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 566-4527

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 De'juan Ellsworth's NPI number?

The NPI number for De'juan Ellsworth is 1467821587. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Where is De'juan Ellsworth located?

De'juan Ellsworth practices at 2310 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 566-4500.

What is De'juan Ellsworth's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for De'juan Ellsworth was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.