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

BERENICE JAQUEZ, LCSW

Active

BERENICE JAQUEZ, LCSW is a Clinical Social Worker healthcare provider located in ROCKFORD, Illinois. NPI 1225892540 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROCKFORD, IL

Registration Details

NPI Number
1225892540
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2024 (2.4973698945618 yrs)
Last Updated
Feb 7, 2024
License
149.025870 (IL)

Practice Information

Address
1639 N ALPINE RD STE 204
ROCKFORD, IL, 611071481
Browse IL providers · Browse ZIP 61107
Phone
7794230275
Fax
8155165952
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in ROCKFORD, IL

Name Credential NPI
MISS MARCY L TUREK LCSW 1013994789
MRS. SHARON ANN OCKERLANDER MSW 1538149273
MR. JAMES ROBERT DAVIES LCSW 1235103730
MS. LAURA LYNN ALLMAN LCSW 1881661023
MR. DANIEL SOMMER LCSW 1265470496
MRS. BARBARA HALLSTROM MSW/LCSW 1154360758
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.