Individual provider · Type 1 NPI

Mary A. Camper, DD, PhD, LCSW, CADC

Clinical Social Worker · South Holland, IL

NPI number 1417420696 Active

Practice location

401 E 162nd St Ste 103
South Holland, IL 60473-2237

Call (815) 418-6577 Map

Mailing address

17577 Kedzie Ave Ste 301
Hazel Crest, IL 60429-2051

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X32188 (IL)
Case Manager/Care Coordinator 171M00000XNone listed
Driver 172A00000XNone listed
Clinical Social Worker Primary 1041C0700X149.026415

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 1417420696

Mary A. Camper, DD, PhD, LCSW, CADC's National Provider Identifier is 1417420696, issued on Jan 9, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Holland, IL. The record was last updated on Sep 29, 2026.