Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACQUELINE JENNY CENTENO
NPI 1407772080
Social Worker - Clinical in Chicago, IL

Active since June 26, 2026
4417 W DIVERSEY AVE, CHICAGO, IL 60639(773) 932-5723 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Jenny Centeno NPPES

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

JACQUELINE JENNY CENTENO (NPI 1407772080) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407772080
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE JENNY CENTENO
Location Address4417 W DIVERSEY AVEChicago, IL 60639-1923
Mailing Address4327 W Peterson AveChicago, IL 60646-5927
Sole ProprietorYes
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1407772080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4417 W DIVERSEY AVE, Chicago, IL 60639

Other Providers at the Same Location NPPES 12

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

Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Nurse Practitioner (Family)
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Family Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Internal Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Internal Medicine
4417 W DIVERSEY AVE
CHICAGO, IL 60639
Nurse Practitioner (Family)
4417 W DIVERSEY AVE
CHICAGO, IL 60639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Centeno's NPI number?

The NPI number for Jacqueline Centeno is 1407772080. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Jacqueline Centeno located?

Jacqueline Centeno practices at 4417 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 932-5723.

What is Jacqueline Centeno's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Centeno was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.