Genovese, Jerri Jean

Genovese, Jerri Jean is an individual health care provider with primary practice located at 2511 N Main St , East Peoria IL 61611-1783. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Genovese, Jerri Jean can be contacted via phone (309) 670-0459.

Contact Information

Primary practice address
2511 N Main St East Peoria IL 61611-1783
Phone: (309) 670-0459
Fax: (309) 670-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150102375 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149021580 Illinois

Profile Details

NPI number 1376103259
LBN Legal business name Genovese, Jerri Jean
Credentials MSW, LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2019
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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