Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Henrichs

Individual provider Social Worker · NPI 1306105051

Jacqueline Henrichs is a Clinical Social Worker in Champaign, Illinois. Qualified in 2012, 14 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 365-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 202 W. Park St., Champaign, IL 61820-3968 — (217) 373-2430

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149017167 (IL)
Social Worker Taxonomy 104100000X

Record details

NPI number1306105051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2012
Last updated in NPPESNovember 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Champaign