Individual provider · Type 1 NPI

Jerri Jean Genovese, MSW, LCSW, CADC

Clinical Social Worker · East Peoria, IL

NPI number 1376103259 Active

Practice location

2511 N Main St
East Peoria, IL 61611-1783

Call (309) 670-0459 Map

Fax (309) 670-0416

Mailing address

103 Brenyn Ct
East Peoria, IL 61611-5511

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X150102375 (IL)
Clinical Social Worker Primary 1041C0700X149021580 (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 1376103259

Jerri Jean Genovese, MSW, LCSW, CADC's National Provider Identifier is 1376103259, issued on Jun 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Peoria, IL. The record was last updated on Jul 21, 2022.