Individual
CHERISE JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10618 CENTRAL AVE, APT 1S, CHICAGO RIDGE, IL 60415-2019
(708) 837-6767
Mailing address
10618 CENTRAL AVE, APT 1S, CHICAGO RIDGE, IL 60415-2019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.103746
IL
1041C0700X
Clinical Social Worker
Primary
149.022672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.022672
ASWB
IL
Enumeration date
03/18/2010
Last updated
11/24/2020
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