Jaclyn Kroeger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015131 Issued in IL

Practice address

2028 N Seminary Ave
Woodstock, IL 60098-2626

Phone

(815) 338-3590

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1548687817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 LORI LN",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427385",
            "telephone_number": "815-353-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 N SEMINARY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982626",
            "telephone_number": "815-338-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "JACLYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grazyna Kostecki
• Brian Kostuk, D.O.
• Blade Morgan Kowalski
• Daniel George Krall, O.D.
• Karen Brenda Kreiner, MD
• Holly K Kronn, RN
• Janine A. Krueger, PHARM.D.
• Cathy A Kruse
• Agnieszka Krzeminska, LCPC, NCC, CCMHC
• Emily Kunash, M.A.

• Clinical Social Worker in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.