Jennifer Lee Cacciatore, LCSW is a
Social Worker - Clinical based in Davis, Illinois. Jennifer Lee Cacciatore is licensed to practice in Nevada (license number 7211-C) and her current practice location is
1982 Southgate Dr, Davis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 708-2430.
NPI number for Jennifer Lee Cacciatore is 1477007276 and her current mailing address is 1982 Southgate Dr, Davis, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477007276.
Healthcare Provider's Profile
Full Name | Jennifer Lee Cacciatore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1982 Southgate Dr, Davis, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477007276
- Provider Enumeration Date: 08/09/2016
- Last Update Date: 08/09/2016
Medical Identifiers
Medical identifiers for Jennifer Lee Cacciatore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477007276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7211-C (Nevada) | Primary |
1041C0700X | Social Worker - Clinical | 149012835 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Lee Cacciatore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Lee Cacciatore, LCSW 1982 Southgate Dr, Davis, IL 61019-9407 Ph: (815) 708-2430 | Jennifer Lee Cacciatore, LCSW 1982 Southgate Dr, Davis, IL 61019-9407 Ph: (815) 708-2430 |
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