Individual ProviderJessica WestSocial WorkerBehavioral Health & Social Service ProvidersPractice Address446 River Bluff Dr, Dixon, IL 61021-8768(815) 677-6280PECOS EnrollmentBased on the most recent information from CMS, provider Jessica West is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1770147506Provider TypeIndividualFull NameWest, JessicaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date4/26/2019Last Updated1/27/2025Contact InformationPractice LocationPractice Address446 River Bluff Dr, Dixon, IL 61021-8768Phone(815) 677-6280FaxUnlisted FaxMailing LocationMailing Address446 River Bluff Dr, Dixon, IL 61021-8768Phone(815) 677-6280FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149022479IllinoisCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer