Kathleen Reese, LCSW
Individual provider Active NPI Clinical Social Worker · Rockton, IL
NPI 1669962023 · NPPES record last updated May 11, 2018
Key facts
- NPI
- 1669962023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149004820 (IL)
- Practice address
- 158 Quantico Dr
Rockton, IL 61072-2820 - Phone
- (815) 289-1648
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149004820 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149004820 | IL | Yes |
Addresses
Primary practice location
158 Quantico Dr
Rockton, IL 61072-2820
Mailing address
158 Quantico Dr
Rockton, IL 61072-2820
Phone (815) 289-1648
Other providers in Rockton, IL
- Shelly L Patchett
- Mark Peters
- Hannah Proctor
- Rhonda Christel Raedeke
- Keegan Thomas Ray
- Maryann Robison-Kaeding
- Rockton Fire Protection District
- Rockton School District 140
- Rollin Smiles
- Taylor Rotolo
All providers in Rockton, 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 11, 2018. 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.