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

Individual provider Clinical Social Worker · NPI 1811293095

MS. Jessica Marie Dergance, LCSW is a Clinical Social Worker in LA Salle, Illinois. Qualified in 2007, 19 years ago. Practices with Life Balance Counseling and Wellness Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2011
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

2428 Chartres St
LA Salle, IL 61301-1107
Phone: (815) 780-8765
Fax: (815) 780-8766
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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 149014277 (IL)

Record details

NPI number1811293095
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 4, 2011
Last updated in NPPESJuly 24, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Life Balance Counseling And Wellness Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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