Individual provider · Type 1 NPI

Kylie Marie Kotak, LCSW

Clinical Social Worker · Evanston, IL

NPI number 1497495246 Active

Practice location

1007 Church St
Evanston, IL 60201-3624

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X149.027729 (IL)
Clinical Social Worker Primary 1041C0700X149.027729 (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 1497495246

Kylie Marie Kotak, LCSW's National Provider Identifier is 1497495246, issued on Mar 30, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Apr 28, 2026.