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

Kassandra Jediola, LCSW

Individual provider Clinical Social Worker · NPI 1427322130

Kassandra Jediola, LCSW is a Clinical Social Worker in Dekalb, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2014, 12 years ago. Practices with Dekalb Behavioral Health Foundation, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

631 S 1st St
Dekalb, IL 60115-4117
Phone: (815) 756-8501
Fax: (815) 756-2944
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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 149.017240 (IL)

Record details

NPI number1427322130
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 27, 2012
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing addressPo Box 1109, Dekalb, IL 60115-7109

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2014 (12 years in practice)
Group practice Dekalb Behavioral Health Foundation, Inc. — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dekalb