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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAQ L ZUIDEMA, LCSW, ASDCS, TIYT

Active Sole Proprietor

JAQ L ZUIDEMA, LCSW, ASDCS, TIYT is a Clinical Social Worker healthcare provider located in CHICAGO, Illinois. NPI 1043749310 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CHICAGO, IL

Registration Details

NPI Number
1043749310
Provider Type
Individual
Gender
Unknown
NPI Issued
Jun 8, 2017 (9.1580345997065 yrs)
Last Updated
May 14, 2025
Licenses
21219 (OK)
149.028001 (IL)
Sole Proprietor
Yes

Practice Information

Address
4000 W MONTROSE AVE # 790
CHICAGO, IL, 606412140
Browse IL providers · Browse ZIP 60641
Phone
9185580338
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Case Manager
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in CHICAGO, IL

Name Credential NPI
MS. ROBERTA SUE BARRY LCSW 1578560736
MISS LAURIEANN CHUTIS LCSW 1487653788
JENNIFER ANN JONES LCSW 1780676106
MS. PHYLLIS SYDNIE GOULD LCSW 1215920608
MS. KIRSTEN DANA BELZER LCSW 1548254675
PATRICIA SEGHERS PHD, LCSW 1699763193
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.