MEDICARE: MS. JENNIFER ANN ROCHON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149011675	IL

General Provider Information

NPI Number	:	1598824625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER ANN ROCHON LCSW

Provider Business Mailing Address
First Line	:	1165 CENTRAL PARK DR UNIT 107
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8229
Country	:	US
Telephone Number	:	815-529-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 CENTRAL PARK DR UNIT 107
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8229
Country	:	US
Telephone Number	:	815-529-5933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	02/12/2026

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