Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Banks

Individual provider Clinical Social Worker · NPI 1972225738

Jacquelyn Banks is a Clinical Social Worker in Blue Island, Illinois. Qualified in 2017, 9 years ago. Practices with Cook County, a 787-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2022

Practice location Address checks out

12757 Western Ave
Blue Island, IL 60406-2155
Phone: (708) 293-8400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 S California Ave, Chicago, IL 60608-5108 — (773) 674-7100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.024025 (IL)

Record details

NPI number1972225738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2022
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing addressPo Box 170198, Chicago, IL 60617-9198

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blue Island