JEFFREY BYRON SUNDBERG


Address: 610 E State St, A, Rockford, IL 61104-1038
Phone: 8153328342

JEFFREY BYRON SUNDBERG (NPI# 1144236118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144236118
Entity Type Individual
Full Name JEFFREY BYRON SUNDBERG
Credential LCSW
Practice Address 610 E State St
A
Rockford
IL 61104-1038
Mailing Address 610 A East State Street
Rockford
IL 61110-7044
Practice Telephone 8153328342
Practice Fax Number 8153328342
Mailing Telephone 8153328342
Mailing Fax Number 8153328342
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Providers JEFFREY SUNDBERG

NPI Name Taxonomy Address Enumeration
1518072735 Jeffrey Sundberg Dentist 1508 Doctors Ct, Watertown, WI 53094-4102 2006-08-20
1013222678 Jeffrey Sundberg Counselor 915 Middle River Dr, Suite 317, Fort Lauderdale, FL 33304-3544 2010-08-06

Office Location

Street Address 610 E STATE ST
A
City ROCKFORD
State IL
Zip Code 61104-1038

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699216564 Swedishamerican Hospital Nutritionist 1415 E. State St., Lower Level A3, Rockford, IL 61104 2017-03-13
1376950485 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 200, Rockford, IL 61104 2014-07-21
1871907774 Oday Alsarraf Psychiatry & Neurology 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 2014-06-18
1962652339 Children's Home and Aid Community/Behavioral Health 424 7th St, Rockford, IL 61104 2008-09-23
1689729535 Swedishamerican Hospital Nurse Practitioner 1340 Charles St Ste 100, Rockford, IL 61104 2007-01-23
1790873016 David J Schleicher Obstetrics & Gynecology 209 9th St Ste 200, Rockford, IL 61104 2006-10-11
1013026624 Thomas Ryan Moss Dentist 1415 E State Street, Rockford, IL 61104 2006-08-29
1366452096 Arturo Santiago Manas Obstetrics & Gynecology 1415 E State St Fl 8, Rockford, IL 61104 2006-08-08
1245263268 William John Stout Physician Assistant 1401 E State Street, Rockford, IL 61104 2006-07-10
1689604969 Prabha Chand Dosi Pediatrics 1401 E. State Street, Rockford, IL 61104 2006-07-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306444070 Susan Glover Social Worker 65 S Main St Lowr Level, Rockford, MI 49341-1286 2020-10-14
1669085445 Lorri Ann Romesberg Social Worker 5738 Dorado Ct Ne, Rockford, MI 49341-8335 2020-08-31
1063020246 Samantha Lane Social Worker 5402 Applewood Close, Rockford, IL 61114-5490 2020-07-14
1518587872 Laura Kathleen Lindell Social Worker 4003 Mila Ave, Rockford, IL 61101-5069 2020-04-16
1548895527 Stephanie Syverson Social Worker 695 N Perryville Rd Ste 4, Rockford, IL 61107-6225 2020-03-10
1508497975 Laurie Hadler Social Worker 740 Tulip Ln, Rockford, IL 61107-5828 2020-02-03
1538708243 Nicole Elizabeth Rundall-royal Social Worker 1302 Thoren Ln, Rockford, IL 61107-2662 2019-12-27
1568006096 Bridget Denise Mcknight Social Worker 5959 Forest Trail Dr, Rockford, IL 61109-6535 2019-10-28
1538716105 Geiselhart Solution Focused Therapy, LLC Social Worker 4102 Will Ann Dr, Rockford, IL 61101-6047 2019-08-20
1548816184 Amy Hultman Social Worker 4320 Spring Creek Rd Ste 9, Rockford, IL 61107-1157 2019-08-09
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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