Individual provider · Type 1 NPI

Jacqueline Jenny Centeno

Clinical Social Worker · Chicago, IL

NPI number 1407772080 Active

Practice location

4417 W Diversey Ave
Chicago, IL 60639-1923

Call (773) 932-5723 Map

Mailing address

4327 W Peterson Ave
Chicago, IL 60646-5927

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1407772080

Jacqueline Jenny Centeno's National Provider Identifier is 1407772080, issued on Jun 26, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jun 26, 2026.