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JASMINE BAINES LSW
NPI 1629671508
Social Worker in Champaign, IL

Active since November 21, 2020PECOS EnrolledAccepts Medicare Assignment
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-2855 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmine Baines Lsw NPPES

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

JASMINE BAINES LSW (NPI 1629671508) is an individual social worker in Champaign, Illinois, licensed in Illinois (150.104762) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Champaign.

NPPES Registry Identity

NPI1629671508
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJASMINE BAINESCredential: LSW
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W Park St, FapcUrbana, IL 61801-2500
Phone(217) 365-2855
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 21, 2020
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1629671508 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 · 150.104762
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.
1802 S MATTIS AVE, Champaign, IL 61821
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Secondary Practice Location 1

Location 1801 N Walnut StChampaign, IL 61820-3055 · Phone (217) 373-2430

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasmine Baines Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234581026
PECOS Enrollment IDI20240117002442
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

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.

RACHAEL D RUBIN PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 255-9580
CARLE CLINIC ASSOCIATION, PC
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-1220
DR. GABRIEL SOTOMAYOR M.D.
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 902-6954
KRISTINE S ANDERSON PA
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-3260
DR. JOHN P BAKER PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
SELAHATTIN GOKTURK M.A
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
AMANDA GAUGLER
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MS. LISA ANNETTE ELLINGWOOD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855

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 Jasmine Baines's NPI number?

The NPI number for Jasmine Baines is 1629671508. It was assigned to this individual provider in the NPPES registry on November 21, 2020.

Where is Jasmine Baines located?

Jasmine Baines practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 365-2855.

What is Jasmine Baines's specialty?

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

Is Jasmine Baines enrolled in Medicare?

Yes. Jasmine Baines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jasmine Baines affiliated with any hospitals?

According to CMS data, Jasmine Baines is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Jasmine Baines was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.