Individual provider · Type 1 NPI

Kenneth J. Stall, LCSW

Clinical Social Worker · Libertyville, IL

NPI number 1245344837 Active

Practice location

1117 S Milwaukee Ave
Libertyville, IL 60048-3798

Call (847) 367-6900 Map

Fax (847) 816-6447

Mailing address

708 Foster Ave
Lake Bluff, IL 60044-1520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1245344837

Kenneth J. Stall, LCSW's National Provider Identifier is 1245344837, issued on Aug 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Libertyville, IL. The record was last updated on Jul 8, 2007.