Jamie Susan Humphreys, MSW, LCSW
Social Worker, Clinical in Frankfort, IL. Individual provider (NPI-1).
NPI number1659928596
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1659928596
- Entity type
- Individual (NPI-1)
- Name
- Jamie Susan Humphreys
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2019
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149021322 | IL | Yes |
Practice location
20635 Abbey Woods Ct N Ste 309Frankfort, IL 60423-3217
Phone 815-464-8210
Mailing address
2785 E 2625th RdMarseilles, IL 61341-9485
Phone 815-560-7132
Other practice locations
1100 E Norris Dr
Ottawa, IL 61350-1604
Ottawa, IL 61350-1604
Phone 815-433-3100
2785 E 2625th Rd
Marseilles, IL 61341
Marseilles, IL 61341
Phone 815-560-7132
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