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

JENNA ROSE FORREST MANGOLD, LCSW

Active

JENNA ROSE FORREST MANGOLD, LCSW is a Clinical Social Worker healthcare provider located in NORMAL, Illinois. NPI 1497983613 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NORMAL, IL

Registration Details

NPI Number
1497983613
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2009 (17.124118808954 yrs)
Last Updated
Oct 3, 2016
License
149015289 (IL)

Practice Information

Address
706 OGLESBY AVE
SUITE 300
NORMAL, IL, 617614616
Browse IL providers · Browse ZIP 61761
Phone
3098265806
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in NORMAL, IL

Name Credential NPI
LORI A. OSBORNE MSW, LCSW 1215950969
NICOLE ANGELA KELLEY LCSW 1659473437
MRS. JAN MARIE REEDER LCSW 1598868473
MRS. DIANA LEE MARIANI MSW, LCSW 1770680951
MS. CAROLYN WILBUR TREADWAY LCSW 1972633501
MS. NAOMI WILANSKY MSS LCSW BCD 1043340334
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.