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

Individual provider Clinical Social Worker · NPI 1801623590

Jesse Buss, MSW, LSW, QMHP is a Clinical Social Worker in Champaign, Illinois. Qualified in 2023, 3 years ago. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2302 Moreland Blvd
Champaign, IL 61822-1398
Phone: (217) 356-7576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 150113732 (IL)

Record details

NPI number1801623590
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LSW , QMHP
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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