JESSICA J SIWAK (NPI# 1477828713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477828713 |
| Entity Type | Individual |
| Full Name | JESSICA J SIWAK |
| Credential | LCSW |
| Practice Address |
310 E Torrance Ave Pontiac IL 61764-2748 |
| Mailing Address |
310 E Torrance Ave Po Box 768 Pontiac IL 61764-2748 |
| Practice Telephone | 8158446109 |
| Practice Fax Number | 8158443561 |
| Mailing Telephone | 8158446109 |
| Mailing Fax Number | 8158443561 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.015177 | IL | Behavioral Health & Social Service Providers |
| Street Address |
310 E TORRANCE AVE |
| City | PONTIAC |
| State | IL |
| Zip Code | 61764-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239674 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2006-03-20 |
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1376152975 | Sarah E Vitzthum | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-07-29 |
| 1063054724 | Rachel Boros | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1417599176 | Kelsey Ann Anello | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-10-15 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1477106003 | Kevin Steidinger | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-07-23 |
| 1386107902 | Alexandra Kingma | Social Worker | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1144783762 | Alyssa Ross | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
| 1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
| 1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
| 1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
| 1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| 1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
| Find all providers in zip 61764 | ||||
| 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 |
|---|---|---|---|---|
| 1063028363 | Ashley Nichole Frizzell | Social Worker | 310 E Howard St, Pontiac, IL 61764-2033 | 2020-09-22 |
| 1598117533 | Meghan Ann Whitenton | Social Worker | 461 W Huron St # 107, Pontiac, MI 48341-1601 | 2016-07-01 |
| 1346649324 | Patrick Laus | Social Worker | 35 S Johnson St Ste 3c, Pontiac, MI 48341-1662 | 2014-08-15 |
| 1831519008 | Mary E. Rodgers | Social Worker | 58 Newberry St, Pontiac, MI 48341-1136 | 2014-04-25 |
| 1104244953 | Ennis Center for Children, Inc | Social Worker | 91 S Telegraph Rd, Pontiac, MI 48341-1580 | 2014-03-30 |
| 1356642524 | Lotus Care LLC | Social Worker | 280 Bondale Ave, Pontiac, MI 48341-2720 | 2010-11-04 |
| 1669787271 | Tradina Taylor | Social Worker | 1200 N Telegraph Rd Bldg 32e, Pontiac, MI 48341-1032 | 2010-08-09 |
| 1104137736 | Jacqueline Davis | Social Worker | 276 Cherokee Rd, Pontiac, MI 48341-2004 | 2010-06-29 |
| 1104145580 | Malaika Ghenet Ward | Social Worker | 1841 N Perry St, Pontiac, MI 48340-2235 | 2010-05-24 |
| 1184958456 | Annette Renee Richards | Social Worker | 136 Cherokee Rd, Pontiac, MI 48341-2001 | 2009-09-19 |
| Find all providers in PONTIAC | ||||
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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.