Jessica Marie Dergance, LCSW
NPI 1811293095ActiveIndividual· Social Worker, Clinical· La Salle, IL
Social Worker, Clinical (LCSW) with Life Balance Counseling and Wellness Inc, practicing in La Salle, Illinois. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1811293095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Feb 4, 2011 |
| Last updated in NPPES | Jul 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149014277 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Life Balance Counseling and Wellness IncPeru, IL · 9 clinicians
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All 22 clinical social workers in La Salle · All clinical social workers in Illinois