Individual provider · Type 1 NPI

Berenice Jaquez, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1225892540 Active

Practice location

1639 N Alpine Rd Ste 204
Rockford, IL 61107-1481

Call (779) 423-0275 Map

Fax (815) 516-5952

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.025870 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1225892540

Berenice Jaquez, LCSW's National Provider Identifier is 1225892540, issued on Feb 7, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Feb 7, 2024.