Provider Demographics
NPI:1003628462
Name:FRECHETTE, JENIFER MARIE (MSW)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:MARIE
Last Name:FRECHETTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18640 W ROUTE 120
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-9733
Mailing Address - Country:US
Mailing Address - Phone:847-548-6000
Mailing Address - Fax:
Practice Address - Street 1:18640 W ROUTE 120
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-9733
Practice Address - Country:US
Practice Address - Phone:847-548-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker