Individual provider · Type 1 NPI
Kathleen Diane Ely, LCSW
Clinical Social Worker · Sugar Grove, IL
Practice location
172 Brookhaven Court
Sugar Grove, IL 60554
Fax (630) 809-5062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 149012496 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 149.012496 (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 1104055714
Kathleen Diane Ely, LCSW's National Provider Identifier is 1104055714, issued on Jul 6, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sugar Grove, IL. The record was last updated on Sep 23, 2009.