Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANIE MICKELSEN, LCPC
ActiveJEANIE MICKELSEN, LCPC is a Social Worker healthcare provider located in CHAMPAIGN, Illinois. NPI 1710510136 is currently active in the NPPES registry. Verify at CMS.
Social Worker · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1710510136
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2020 (6.4554087729678 yrs)
- Last Updated
- Feb 13, 2020
Practice Information
- Address
-
1802 S MATTIS AVECHAMPAIGN, IL, 618215923Browse IL providers · Browse ZIP 61821
- Phone
- 2173831850
- Fax
- 2173833439
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| SARAH E MCLOUGHLIN | — | 1437233368 |
| MS. ANDREA JENNIFER HERZOG | MSW | 1114071933 |
| SARA L POWELL | LSW | 1609914092 |
| ANITA M CARMONA | MSW | 1801098165 |
| MR. JASON OWEN GREENLY | BA, MHP | 1710171699 |
| TANA M FEDEWA | MSWLL | 1982899977 |
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.