MS. JESSICA MARIE DERGANCE (NPI# 1811293095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811293095 |
| Entity Type | Individual |
| Full Name | MS. JESSICA MARIE DERGANCE |
| Credential | LCSW |
| Practice Address |
2428 Chartres St La Salle IL 61301-1107 |
| Practice Telephone | 8157808765 |
| Practice Fax Number | 8157808766 |
| Mailing Telephone | 8152241610 |
| Mailing Fax Number | 8152231634 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149014277 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2428 CHARTRES ST |
| City | LA SALLE |
| State | IL |
| Zip Code | 61301-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902956220 | Danielle G Stoddard | Counselor | 2428 Chartres St, La Salle, IL 61301-1107 | 2007-01-11 |
| 1033749098 | Nicole Heather Tonioni | Social Worker | 2428 Chartres St, La Salle, IL 61301-1107 | 2020-01-17 |
| 1790327138 | Stephanie Thomas | Counselor | 2428 Chartres St, La Salle, IL 61301-1107 | 2019-10-16 |
| 1174027148 | Lauren Elizabeth Holt | Counselor | 2428 Chartres St, La Salle, IL 61301-1107 | 2018-03-22 |
| 1912409681 | Life Balance Counseling and Wellness Inc | Counselor | 2428 Chartres St, La Salle, IL 61301-1107 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
| 1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| Find all providers in zip 61301 | ||||
| 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 |
|---|---|---|---|---|
| 1750448627 | Alan J Blomquist | Social Worker | 1015 Oconor Ave, La Salle, IL 61301-1216 | 2007-01-02 |
| 1457412868 | Diane Louise Farrell | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2006-12-12 |
| 1033749098 | Nicole Heather Tonioni | Social Worker | 2428 Chartres St, La Salle, IL 61301-1107 | 2020-01-17 |
| 1154828820 | David Lee Martin | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2018-04-10 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1396289377 | Noelle Sliker | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2016-12-12 |
| 1871999268 | Sarah Morscheiser | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2014-11-12 |
| 1699178954 | Jamie Taylor | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2014-10-01 |
| 1043626823 | Ronda Ketner | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2014-07-01 |
| 1689908972 | Christine Kohut | Social Worker | 2960 Chartres St, La Salle, IL 61301-1097 | 2009-09-20 |
| Find all providers in LA SALLE | ||||
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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.