IndividualActive
Jennifer Cacciatore, LCSW
NPI 1477007276 · Clinical Social Worker · Davis, IL
Provider details
- NPI number
- 1477007276
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7211-C (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1982 Southgate Dr
Davis, IL 61019-9407
Phone: (815) 708-2430
Approximate (ZIP-level) locationGet directions
Mailing address
1982 Southgate Dr
Davis, IL 61019-9407
Registry dates
- Enumerated
- 2016-08-09
- Last updated
- 2016-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.