Kylanne Briggs, LCSW
Individual provider Active NPI Clinical Social Worker · Pekin, IL
NPI 1114463569 · NPPES record last updated May 4, 2017
Key facts
- NPI
- 1114463569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.019346 (IL)
- Practice address
- 804 Sheridan Rd
Pekin, IL 61554-1629 - Phone
- (309) 863-5454
- NPI assigned
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019346 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019346 | IL | Yes |
Addresses
Primary practice location
804 Sheridan Rd
Pekin, IL 61554-1629
Mailing address
804 Sheridan Rd
Pekin, IL 61554-1629
Phone (309) 863-5454
Other providers in Pekin, IL
- Vicki R. Bree
- Brendon J Johnson, OD, PC
- Krystal Brent
- Regina Mae Tinio Kabatay Brian
- Bridgeway Inc
- Emily Irene Brown
- Kara Kathleen Brown
- Chelsea L Brush
- James Arthur Budds
- Lisa Marie Buettner
All providers in Pekin, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.