Provider Demographics
NPI:1649948498
Name:DELFINO, JEANETTE OROZCO (LCSW)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:OROZCO
Last Name:DELFINO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JEANETTE
Other - Middle Name:OROZCO
Other - Last Name:DELFINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:11702 S ROSEMARY LN
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803-2162
Mailing Address - Country:US
Mailing Address - Phone:224-623-2184
Mailing Address - Fax:
Practice Address - Street 1:11702 S ROSEMARY LN
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-2162
Practice Address - Country:US
Practice Address - Phone:224-623-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-04
Last Update Date:2021-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490189581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical