Individual provider · Type 1 NPI

Kelli D. Canada, LCSW

Clinical Social Worker · Mattoon, IL

NPI number 1336664705 Active

Practice location

911 Remington Rd Ste B
Mattoon, IL 61938-4210

Fax (217) 543-2548

Other practice locations

  • 700 Broadway Ave E Ste 39, Mattoon, IL 61938-4662 · (217) 234-3091
  • 525 N Vine St, Arthur, IL 61911-1130 · (217) 543-2446

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149019506 (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…

4 other providers at this address

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About NPI 1336664705

Kelli D. Canada, LCSW's National Provider Identifier is 1336664705, issued on Aug 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mattoon, IL. The record was last updated on Jul 21, 2022.