Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRI JEAN GENOVESE, MSW, LCSW, CADC
ActiveClinical Social Worker · EAST PEORIA, IL
Registration Details
- NPI Number
- 1376103259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2019 (6.8964064936149 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
150102375 (IL)149021580 (IL)
Practice Information
- Address
-
2511 N MAIN STEAST PEORIA, IL, 616111783Browse IL providers · Browse ZIP 61611
- Phone
- 3096700459
- Fax
- 3096700416
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MS. LISA MARIE KYLE-WOLF | LCSW | 1306819776 |
| MS. NANCY S. EGGER | L.C.S.W. | 1972651479 |
| SARAH E MAKUTA | LCSW | 1528396157 |
| KANDACE ROTH | — | 1205184884 |
| JESSICA HRDLICKA | — | 1073941696 |
| ILANA CRADDOCK | LCSW | 1356896930 |
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.