Doctor Name: | JACALYN HERBERT |
NPI Number: | 1033289095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 1701 E. Woodfield Road Suite 1000 Schaumburg, IL - 601735113 |
Business Phone Number: | 8472402211 |
Business Fax Number: | 8472402418 |
Mailing Address: | 1701 E. Woodfield Road, Suite 1000 SCHAUMBURG |
State: | IL |
Postal Code: | 601735113 |
Phone Number: | 8472402211 |
Fax Number: | 8472402418 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |