Individual provider · Type 1 NPI

McKayla P. Fata, MSW, LSW, LCSW

Clinical Social Worker · Oswego, IL

NPI number 1053013334 Active

Practice location

1 E Merchants Rd, Suite 300
Oswego, IL 60543

Fax (630) 428-7891

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X150114286 (IL)
Clinical Social Worker Primary 1041C0700X149041277 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053013334

McKayla P. Fata, MSW, LSW, LCSW's National Provider Identifier is 1053013334, issued on Mar 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oswego, IL. The record was last updated on Jul 6, 2026.