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

Jennifer Reyes

Individual provider Clinical Social Worker · NPI 1982330163

Jennifer Reyes is a Clinical Social Worker in Rockford, Illinois. Qualified in 2021, 5 years ago. Practices with Willow Creek Counseling LLC, an 8-clinician group.

Years since qualifying
5
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

5906 Elaine Dr
Rockford, IL 61108-2467
Phone: (815) 988-9506
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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
Counselor Taxonomy 101Y00000X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X

Record details

NPI number1982330163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address107 Hunter Ave, Rockford, IL 61108-1627

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Willow Creek Counseling Llc — 8 clinicians
Accepts Medicare assignment Not indicated

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