JAMIE KETCHUM
NPI 1700736774
Social Worker in Rockford, IL

Q: What is Jamie Ketchum's NPI number?

The NPI number for Jamie Ketchum is 1700736774. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Q: What is Jamie Ketchum's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Ketchum was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 30, 2026

1126 19TH ST, ROCKFORD, IL 61104(815) 721-2859 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jamie Ketchum NPPES

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

JAMIE KETCHUM (NPI 1700736774) is an individual social worker in Rockford, Illinois and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1700736774

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJAMIE KETCHUM

Location Address1126 19TH STRockford, IL 61104-3432

Mailing Address1126 19th StRockford, IL 61104-3432 · (815) 721-2859

Phone(815) 721-2859

Sole ProprietorYes

Enumeration DateJanuary 30, 2026

NPPES CertifiedJanuary 30, 2026

✔ NPI 1700736774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1126 19TH ST, Rockford, IL 61104

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jamie Ketchum's NPI number?

The NPI number for Jamie Ketchum is 1700736774. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Jamie Ketchum located?

Jamie Ketchum practices at 1126 19th St, Rockford, IL 61104. The listed phone number is (815) 721-2859.

What is Jamie Ketchum's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jamie Ketchum was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.