JENNIFER LEE CACCIATORE (NPI# 1477007276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477007276 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE CACCIATORE |
| Credential | LCSW |
| Practice Address |
1982 Southgate Dr Davis IL 61019-9407 |
| Practice Telephone | 8157082430 |
| Mailing Telephone | 8157082430 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149012835 | IL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7211-C | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073028254 | Jennifer Frances Cacciatore | Nurse Practitioner | 6501 Harbison Ave, Philadelphia, PA 19149-2912 | 2017-12-09 |
| Street Address |
1982 SOUTHGATE DR |
| City | DAVIS |
| State | IL |
| Zip Code | 61019-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104808401 | Angela Hastings-kuhlmeier | Chiropractor | 507 N Stanton St, Davis, IL 61019 | 2005-11-14 |
| 1184809394 | Hastings Family Chiropractic, Ltd | Chiropractor | 311 N Salisbury, Davis, IL 61019-9134 | 2008-01-07 |
| 1679170955 | Lisa Marie Zimmerman | Counselor | 16255 Hartman Rd, Davis, IL 61019-9201 | 2020-10-08 |
| 1114152576 | Anita Jean Rumage | Developmental Therapist | 112 Stony Knls, Davis, IL 61019-9380 | 2009-05-28 |
| 1336397413 | Susan Ann Watson | Reflexologist | 2020 Hillsdown Rd, Davis, IL 61019-9411 | 2008-09-03 |
| 1891343877 | Elizabeth Johnston | Social Worker | 83 Delburne Dr, Davis, IL 61019-9514 | 2019-09-03 |
| 1316302177 | Matthew Schroeder | Physical Therapy Assistant | 352 Corkhill Ct, Davis, IL 61019-9519 | 2015-12-22 |
| 1003104449 | Shannon Rae Spradlin | Licensed Practical Nurse | 346 Corkhill Ct, Davis, IL 61019-9519 | 2011-07-19 |
| 1346806783 | Janet Marie Bielat | Developmental Therapist | 1486 Pier Dr, Davis, IL 61019-9644 | 2019-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1477151397 | Aidan Turner | Behavior Technician | 2323 Shasta Dr Apt 25, Davis, CA 95616-6613 | 2020-10-13 |
| 1679170955 | Lisa Marie Zimmerman | Counselor | 16255 Hartman Rd, Davis, IL 61019-9201 | 2020-10-08 |
| 1275130296 | Lisa Nicole Luevano | Dietitian, Registered | 510 Lake Blvd Apt 165, Davis, CA 95616-2814 | 2020-10-02 |
| 1083221840 | Bing Rounsavall | Registered Nurse | 645 Adams St Apt 3, Davis, CA 95616-3277 | 2020-09-25 |
| 1598370447 | Xuerong Jin | Dietitian, Registered | 2033 F St Apt 207, Davis, CA 95616-0737 | 2020-09-08 |
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1518579523 | Teresia L White | Technician | 98 Randys Rd, Davis, WV 26260-8226 | 2020-08-20 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1760091110 | Hilda Rexrode | Technician | 5th Street Village Apt 7, Davis, WV 26260 | 2020-07-30 |
| Find all providers in DAVIS | ||||
| 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 |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1891343877 | Elizabeth Johnston | Social Worker | 83 Delburne Dr, Davis, IL 61019-9514 | 2019-09-03 |
| 1215471321 | Danielle Bier, Lcsw | Social Worker | 1712 Picasso Ave Ste A, Davis, CA 95618-0546 | 2016-12-07 |
| 1801268719 | Estepha Francisque | Social Worker | 129 C St Ste 7, Davis, CA 95616-4588 | 2015-10-30 |
| 1699158188 | Uta Russell | Social Worker | 732 Third Street, Suite A, Davis, CA 95616 | 2015-07-02 |
| 1295115319 | Lawrence Shweky | Social Worker | 2043 Picasso Ave, Davis, CA 95618-0505 | 2015-06-03 |
| 1700188547 | Joseph Eli Friedman | Social Worker | 4141 Cowell Blvd, Apt # 5, Davis, CA 95618-4313 | 2010-11-30 |
| 1972817849 | Hillary Caron Alejo | Social Worker | 3119 Evening Bay Pl, Davis, CA 95616-2717 | 2010-08-03 |
| 1720221591 | Gail Marie Nelsen | Social Worker | 212 Grande Ave, Davis, CA 95616-0222 | 2009-04-09 |
| 1548402514 | Michelle Louise Murphy | Social Worker | 260 Russell Blvd Ste D-1, Davis, CA 95616-3839 | 2009-04-06 |
| Find all providers in DAVIS | ||||
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| 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.