NICOLE JACQUES LSW
NPI 1013870609
Psychiatry & Neurology - Psychiatry in Libertyville, IL

Q: What is Nicole Jacques's NPI number?

The NPI number for Nicole Jacques is 1013870609. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Q: What is Nicole Jacques's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Jacques was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2025

1860 W WINCHESTER RD STE 106, LIBERTYVILLE, IL 60048(262) 496-5863 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Jacques Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE JACQUES LSW (NPI 1013870609) is an individual psychiatry provider in Libertyville, Illinois, licensed in Illinois (115845) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1013870609

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameNICOLE JACQUESCredential: LSW

Location Address1860 W WINCHESTER RD STE 106Libertyville, IL 60048-5312

Mailing Address2002 16th AveKenosha, WI 53140-4711 · (262) 496-5863

Phone(262) 496-5863

Sole ProprietorNo

Enumeration DateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1013870609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 115845

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 115845 (IL)

1860 W WINCHESTER RD STE 106, Libertyville, IL 60048

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH DALTON PA-C

Physician Assistant