Provider Demographics
NPI:1952022741
Name:YUMPING, JADE ALEXUS (LCSW)
Entity Type:Individual
Prefix:
First Name:JADE
Middle Name:ALEXUS
Last Name:YUMPING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:ALEXUS
Other - Last Name:SILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 W BARTLETT RD STE 14C
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4454
Mailing Address - Country:US
Mailing Address - Phone:630-864-7267
Mailing Address - Fax:
Practice Address - Street 1:850 W BARTLETT RD STE 14C
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4454
Practice Address - Country:US
Practice Address - Phone:630-864-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0247261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical