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

Jill Derose, LCSW

Individual provider Clinical Social Worker · NPI 1679932503

Jill Derose, LCSW is a Clinical Social Worker in Park Ridge, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
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

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1356
Phone: (847) 759-9110
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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 149016519 (IL)

Record details

NPI number1679932503
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 20, 2016
Last updated in NPPESFebruary 20, 2016
Mailing address1440 Renaissance Dr, Suite 320, Park Ridge, IL 60068-1356

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