Provider Demographics
NPI:1487906210
Name:KAPSON, JILL (MSW/LCSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:KAPSON
Suffix:
Gender:F
Credentials:MSW/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 N SPARKLE CT
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-7942
Mailing Address - Country:US
Mailing Address - Phone:630-913-7045
Mailing Address - Fax:
Practice Address - Street 1:525 S WASHINGTON ST
Practice Address - Street 2:SUITE 7
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6749
Practice Address - Country:US
Practice Address - Phone:630-913-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490145191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical