Provider Demographics
NPI:1467854059
Name:STERWERF, JASON G (LCPC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:G
Last Name:STERWERF
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 WARWICK LN
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF LAKEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60014-5426
Mailing Address - Country:US
Mailing Address - Phone:815-321-3300
Mailing Address - Fax:
Practice Address - Street 1:44 N VIRGINIA ST STE 2B
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-4156
Practice Address - Country:US
Practice Address - Phone:815-363-0864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178010364101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional