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JENNIFER LEE CACCIATORE LCSW
NPI 1477007276
Social Worker - Clinical in Davis, IL

Active since August 09, 2016PECOS Enrolled
1982 SOUTHGATE DR, DAVIS, IL 61019(815) 708-2430 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jennifer Lee Cacciatore Lcsw NPPES

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

JENNIFER LEE CACCIATORE LCSW (NPI 1477007276) is an individual clinical provider in Davis, Illinois, licensed in Nevada (7211-C) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477007276
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER LEE CACCIATORECredential: LCSW
Location Address1982 SOUTHGATE DRDavis, IL 61019-9407
Mailing Address1982 Southgate DrDavis, IL 61019-9407 · (815) 708-2430
Phone(815) 708-2430
Sole ProprietorYes
Enumeration DateAugust 9, 2016
✔ NPI 1477007276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NV · 7211-C✔ Licensed in IL · 149012835
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.
1982 SOUTHGATE DR, Davis, IL 61019
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lee Cacciatore Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jennifer Cacciatore's NPI number?

The NPI number for Jennifer Cacciatore is 1477007276. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Jennifer Cacciatore located?

Jennifer Cacciatore practices at 1982 Southgate Dr, Davis, IL 61019. The listed phone number is (815) 708-2430.

What is Jennifer Cacciatore's specialty?

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

Is Jennifer Cacciatore enrolled in Medicare?

Yes. Jennifer Cacciatore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Cacciatore was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.