Jenna Rose Forrest Mangold, LCSW

Clinical Social Worker · Normal, IL

Individual Active NPI

NPI number 1497983613

Practice location

706 Oglesby Ave
Suite 300
Normal, IL 61761-4616
Phone
(309) 826-5806

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NPI record

NPI
1497983613
Entity type
Individual (Type 1)
Enumeration date
June 25, 2009
Last updated
October 3, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149015289 IL

Mailing address

3606 Como Ct
Normal, IL 61761-9678
Phone
(309) 826-5806

About Jenna Mangold

Jenna Rose Forrest Mangold, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 706 Oglesby Ave, Suite 300, Normal, IL 61761-4616. The NPI number 1497983613 was assigned on June 25, 2009 and the record was last updated on October 3, 2016.

Jenna Mangold lists a license in the registry: #149015289 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jenna Rose Forrest Mangold, LCSW?

The NPI number is 1497983613.

What is the phone number of Jenna Mangold?

The phone number listed for the practice location is (309) 826-5806.

Where is Jenna Mangold located?

706 Oglesby Ave, Suite 300, Normal, IL 61761-4616.

What is the taxonomy code for Jenna Mangold?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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