Kameron Nicole Cluchey, MSW, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

2047269 Issued in IL

Practice address

1200 Dunham Rd
St Charles, IL 60174-5728

Phone

(331) 228-5652

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kameron Nicole Breunlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1841928611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 DOWNING ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198866",
            "telephone_number": "630-292-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601745728",
            "telephone_number": "331-228-5652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 E Wilson St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605102656",
            "country_code": "US",
            "telephone_number": "630-587-3791 x492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLUCHEY",
        "first_name": "KAMERON",
        "middle_name": "NICOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025247",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2047269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMERON",
            "last_name": "BREUNLIN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Catherine (Kay) Clarke, MA, LCPC, CADC
• Jenelle Clason, BCBA
• Mary Jennifer Clemons, DPT
• Tracey Burnett Clifford, DR EDD LCSW
• Denny Clouse, MSW/LCSW
• Erin Joan Cluts, MSW, LCSW
• Ann Cobb, PTA
• Cognitive Behavioral Care Incorporated
• Monica Tyanne Colamatteo, PTA
• Cole Counseling, PLLC

• School Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• School Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.