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

JENNIFER LEE CACCIATORE, LCSW

Active Sole Proprietor

JENNIFER LEE CACCIATORE, LCSW is a Clinical Social Worker healthcare provider located in DAVIS, Illinois. NPI 1477007276 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DAVIS, IL

Registration Details

NPI Number
1477007276
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2016 (9.9973475903997 yrs)
Last Updated
Aug 9, 2016
Licenses
7211-C (NV)
149012835 (IL)
Sole Proprietor
Yes

Practice Information

Address
1982 SOUTHGATE DR
DAVIS, IL, 610199407
Browse IL providers · Browse ZIP 61019
Phone
8157082430
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in DAVIS, IL

Name Credential NPI
ELIZABETH JOHNSTON MSW, LCSW 1891343877
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.