Individual provider · Type 1 NPI
Jazmin Quintanilla-Rendon
Clinical Social Worker · Great Lakes, IL
Practice location
2410 Sampson St
Great Lakes, IL 60088-2942
Mailing address
12772 71st St Apt 319
Kenosha, WI 53142-8431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 121704 (CA) |
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 1891687182
Jazmin Quintanilla-Rendon's National Provider Identifier is 1891687182, issued on Jul 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 19, 2025.