Healthcare Provider Details

I. General information

NPI: 1942949342
Provider Name (Legal Business Name): JILL COMERFORD SCHREIBER MSW, LCSW, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 S STATE ROUTE 157
EDWARDSVILLE IL
62025-3846
US

IV. Provider business mailing address

1000 PRESTONWOOD DR
EDWARDSVILLE IL
62025-4139
US

V. Phone/Fax

Practice location:
  • Phone: 618-507-9027
  • Fax: 618-615-4576
Mailing address:
  • Phone: 217-390-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.020742
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: