Individual provider · Type 1 NPI

Kelly Fetherling, LCSW

Clinical Social Worker · Elgin, IL

NPI number 1215483979 Active

Practice location

6912 S Main St.
Elgin, IL 60120

Mailing address

1111 Clover Hill Ln
Elgin, IL 60120-2395

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149018591 (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 1215483979

Kelly Fetherling, LCSW's National Provider Identifier is 1215483979, issued on Aug 31, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elgin, IL. The record was last updated on Aug 31, 2016.