Individual provider · Type 1 NPI

Jazmin Quintanilla-Rendon

Clinical Social Worker · Great Lakes, IL

NPI number 1891687182 Active

Practice location

2410 Sampson St
Great Lakes, IL 60088-2942

Mailing address

12772 71st St Apt 319
Kenosha, WI 53142-8431

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X121704 (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.