Individual provider · NPI-1

Jessica Bezkhlebetskiy

Social Worker · Waukegan, IL

NPI number1780477695
StatusActive
Last updated in NPPESOct 3, 2025

Details

NPI
1780477695
Entity type
Individual (NPI-1)
Name
Jessica Bezkhlebetskiy
Sex
Female
Sole proprietor
Yes
Enumeration date
May 23, 2025
Certification date
Oct 3, 2025
Last updated
Oct 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes
101YM0800X Counselor, Mental Health––
385H00000X Respite Care––

Other names

  • Jessa Bezkhlebetskiy (Other Name)

Practice location

3002 Grand Ave
Waukegan, IL 60085-2321

Phone 224-814-9479

Mailing address

3002 Grand Ave
Waukegan, IL 60085-2321

Phone 224-814-9479

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