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

Nicole Jacques, LSW

Individual provider Psychiatry Physician · NPI 1013870609

Nicole Jacques, LSW is a Psychiatry Physician in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Phone: (262) 496-5863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 115845 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 115845 (IL)

Record details

NPI number1013870609
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address2002 16th Ave, Kenosha, WI 53140-4711

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