Jessica Carol Nusbaum
Social Worker
101 S Jefferson St
Woodstock
, Illinois 60098-3437
Jessica Carol Nusbaum
Social Worker
101 S Jefferson St
Woodstock
, Illinois 60098-3437
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Jessica Carol Nusbaum
- 101 S Jefferson St
- Woodstock, IL
- Zip : 60098-3437
- Phone :
Second Address
- Jessica Carol Nusbaum
- 101 S Jefferson St
- Woodstock, IL
- Zip : 60098-3437
- Fax : (815) 337-5510
- Phone : (815) 338-7360
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1003203795 |
|---|---|
| Provider Name | Jessica Carol Nusbaum |
| First Address | Woodstock, IL 60098-3437 |
| Second Address | Woodstock, IL 60098-3437 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2015 |
| Last Update Date | 20/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.