1. Home
  2. Directory
  3. Illinois
  4. La Salle
  5. Social Worker
  6. NPI Profile

MS. JESSICA MARIE DERGANCE LCSW
NPI 1811293095
Social Worker - Clinical in La Salle, IL

Active since February 04, 2011PECOS EnrolledAccepts Medicare Assignment
2428 CHARTRES ST, LA SALLE, IL 61301(815) 780-8765(815) 780-8766 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jessica Marie Dergance Lcsw NPPES

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

MS. JESSICA MARIE DERGANCE LCSW (NPI 1811293095) is an individual clinical provider in La Salle, Illinois, licensed in Illinois (149014277) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811293095
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JESSICA MARIE DERGANCECredential: LCSW
Location Address2428 CHARTRES STLa Salle, IL 61301-1107
Mailing Address2428 Chartres StLa Salle, IL 61301-1107 · (815) 224-1610 · Fax (815) 223-1634
Phone(815) 780-8765
Fax(815) 780-8766
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 4, 2011
Last NPPES UpdateJuly 24, 2018
✔ NPI 1811293095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149014277
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2428 CHARTRES ST, La Salle, IL 61301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jessica Marie Dergance Lcsw 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 ID8628253820
PECOS Enrollment IDI20110504000205
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Dergance reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Balance Counseling And Wellness Inc
Same address
Clinical
2428 CHARTRES ST
La Salle, IL 61301
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1912409681 (309) 830-1096

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

NICOLE HEATHER TONIONI
Social Worker (Clinical)
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765
JANI HURST
Social Worker (Clinical)
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765
LAUREN ELIZABETH HOLT LCPC
Counselor (Professional)
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (309) 830-1096
ABBEY SLUSARSKI LCSW
Social Worker
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765
KIMBERLY ANN MERCER M.S. L.M.F.T.
Marriage & Family Therapist
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765
MS. TAMMY R THIEME LCSW
Social Worker (Clinical)
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765
SARA JEAN TROCCOLI LSW
Social Worker (Clinical)
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765
TRACI MIDNIGHT LCSW
Social Worker (Clinical)
2428 CHARTRES ST
LA SALLE, IL 61301
Lasalle County (815) 780-8765

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 Jessica Dergance's NPI number?

The NPI number for Jessica Dergance is 1811293095. It was assigned to this individual provider in the NPPES registry on February 4, 2011.

Where is Jessica Dergance located?

Jessica Dergance practices at 2428 Chartres St, La Salle, IL 61301. The listed phone number is (815) 780-8765.

What is Jessica Dergance's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Dergance enrolled in Medicare?

Yes. Jessica Dergance 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.

Which organization bills Medicare for Jessica Dergance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Dergance reassigns Medicare benefits to Life Balance Counseling And Wellness Inc (La Salle, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Dergance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Dergance was last updated on July 24, 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.