MRS. JENNIFER ROSE ANDERSEN (NPI# 1356820468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356820468 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ROSE ANDERSEN |
| Credential | LCSW |
| Practice Address |
4212 Old Grand Ave Ste 102 Gurnee IL 60031-2708 |
| Mailing Address |
4587 W Hill Ave Waukegan IL 60085-8659 |
| Practice Telephone | 8473365621 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149017905 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738544 | Jennifer Andersen | Psychologist | 117 Dobbin St Ste 305d, Brooklyn, NY 11222-2803 | 2013-09-27 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1639361660 | Jennifer Andersen | Registered Nurse | 27048 Revilo Pl, Sioux Falls, SD 57108-8308 | 2007-08-14 |
| 1427668193 | Jennifer Andersen | Behavior Technician | 6363 S Pecos Rd Ste 206, Las Vegas, NV 89120-6293 | 2020-08-06 |
| 1003388398 | Jennifer Marie Andersen | Counselor | 817 Main St N, Cambridge, MN 55008-1275 | 2018-12-26 |
| 1215477013 | Jennifer Andersen | Social Worker | 320 E 2nd St, Libby, MT 59923-2010 | 2017-02-28 |
| 1750739629 | Jennifer Andersen | Physical Therapist | 1628 W Central Rd, Suite 2, Arlington Heights, IL 60005-2407 | 2016-06-01 |
| 1336569557 | Jennifer Thai Andersen | Anesthesiology | 3550 Terrace Street, Scaife Hall Rooam 651, Pittsburgh, PA 15261 | 2014-04-27 |
| 1922351675 | Jennifer Seegmiller Andersen | Social Worker | 3727 Sunset Ln Ste 210, Antioch, CA 94509-6135 | 2012-10-18 |
| 1982973467 | Jennifer K Andersen | Counselor | 1255 Pearl St Ste 102, Eugene, OR 97401-3570 | 2011-12-29 |
| Street Address |
4212 OLD GRAND AVE STE 102 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285935130 | Adriana Mariel Argueta | Counselor | 4212 Old Grand Ave Ste 102, Gurnee, IL 60031-2708 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| 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 |
|---|---|---|---|---|
| 1932748506 | Austin Tyus-michalak | Social Worker | 597 Pine Grove Ave, Gurnee, IL 60031-2964 | 2019-12-31 |
| 1326466061 | Eric Pressel | Social Worker | 5384 Arthur Ct, Apt F, Gurnee, IL 60031-6021 | 2014-03-31 |
| 1497092290 | Coryn Beth Turner | Social Worker | 3555 Ellis Ave, Gurnee, IL 60031-2860 | 2013-01-14 |
| 1073884086 | Sherie Joy Palmer | Social Worker | 4174 Lake Park Ave, Gurnee, IL 60031-3033 | 2012-01-23 |
| 1801167309 | Emily Anne Eichmeier | Social Worker | 4212 Old Grand Ave. Gurnee Counseling, Suite 102, Gurnee, IL 60031 | 2012-01-16 |
| 1417102559 | Ellen M Belluomini | Social Worker | 34092 N White Oak Ln, Gurnee, IL 60031-4446 | 2008-11-17 |
| 1639334196 | Laurel Sue Haibeck | Social Worker | 135 N Greenleaf, 204, Gurnee, IL 60031 | 2008-07-24 |
| 1578761987 | Heather Maria Howard | Social Worker | 135 N. Greenleaf Avenue, Suite 230, Gurnee, IL 60031-3371 | 2007-07-06 |
| 1023163938 | Sandra Kaeding | Social Worker | 135 N Greenleaf St Ste 228, Gurnee, IL 60031-3371 | 2007-01-24 |
| 1851449276 | Kathaleen Rene Neville | Social Worker | 135 N Greenleaf Ave, Suite 228, Gurnee, IL 60031 | 2007-01-08 |
| Find all providers in GURNEE | ||||
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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.