Individual provider · Type 1 NPI

Jennifer Lee Cacciatore, LCSW

Clinical Social Worker · Davis, IL

NPI number 1477007276 Active

Practice location

1982 Southgate Dr
Davis, IL 61019-9407

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7211-C (NV)
Clinical Social Worker 1041C0700X149012835 (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 1477007276

Jennifer Lee Cacciatore, LCSW's National Provider Identifier is 1477007276, issued on Aug 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davis, IL. The record was last updated on Aug 9, 2016.