JERILYN C DUFRESNE (NPI# 1457524035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457524035 |
| Entity Type | Individual |
| Full Name | JERILYN C DUFRESNE |
| Credential | LCSW |
| Practice Address |
4409 Maine St Quincy IL 62305-5849 |
| Practice Telephone | 2172230413 |
| Practice Fax Number | 2172230461 |
| Mailing Telephone | 2172230413 |
| Mailing Fax Number | 2172230461 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
4409 MAINE ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62305-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258181 | Scott J Wright | Psychiatry & Neurology | 4409 Maine St, Quincy, IL 62305-5849 | 2005-07-07 |
| 1285273144 | Dana R. Knox | Nurse Practitioner | 4409 Maine St, Quincy, IL 62305-5849 | 2019-12-24 |
| 1205338993 | Transitions of Western Illinois Inc. | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2018-03-08 |
| 1336697010 | Jennifer Martin | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2016-09-12 |
| 1164820452 | Amber Wiemelt | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2014-12-18 |
| 1336564764 | Nancy A Weede | Counselor | 4409 Maine St, Quincy, IL 62305-5849 | 2014-02-21 |
| 1548534688 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2012-03-07 |
| 1720375454 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2011-07-01 |
| 1467749192 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2011-07-01 |
| 1053617860 | Sharadan Parks | Developmental Therapist | 4409 Maine St, Quincy, IL 62305-5849 | 2011-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
| 1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
| 1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
| 1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
| 1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
| 1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
| 1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
| Find all providers in zip 62305 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726165 | Saira Lopes | Social Worker | 17 Greenleaf St Apt 5, Quincy, MA 02169-4443 | 2020-03-25 |
| 1649804931 | Nancy Clarke | Social Worker | 179 Thomas Burgin Pkwy, Quincy, MA 02169-4222 | 2020-02-26 |
| 1922564368 | Arealus Pough | Social Worker | 1 Dunns Hill Rd Apt 4, Quincy, MA 02169-4157 | 2019-02-11 |
| 1730658824 | David S Novak | Social Worker | 81 Albatross Rd, Quincy, MA 02169-2601 | 2018-11-19 |
| 1164991725 | Carrie Little | Social Worker | 207 County Hospital Road Suite 109, Quincy, CA 95971 | 2018-11-13 |
| 1023592748 | Rachel Sonia John | Social Worker | 625 Thomas Burgin Pkwy Apt 419, Quincy, MA 02169-7654 | 2018-09-18 |
| 1013499300 | Elizabeth Robinson | Social Worker | 44 Shea St, Quincy, MA 02169-5840 | 2018-09-03 |
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1932687985 | Stacey Barker | Social Worker | 11 Copley St, Quincy, MA 02170-3033 | 2018-08-01 |
| 1932686250 | Lee-anne Jacobs | Social Worker | 100 Hancock St Fl 7, Quincy, MA 02171-1745 | 2018-07-20 |
| Find all providers in QUINCY | ||||
Please comment or provide details below to improve the information on JERILYN C DUFRESNE.
| 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.