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

Individual provider Clinical Social Worker · NPI 1477007276

Jennifer Lee Cacciatore, LCSW is a Clinical Social Worker in Davis, Illinois. Practices as a sole proprietor. Licensed in Illinois and Nevada.

Licensed in
IL, NV
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1982 Southgate Dr
Davis, IL 61019-9407
Phone: (815) 708-2430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7211-C (NV)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149012835 (IL)

Record details

NPI number1477007276
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 9, 2016

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