Individual provider · Type 1 NPI

Kelly Deangelo

Clinical Social Worker · Lisle, IL

NPI number 1629867098 Active

Practice location

6040 State Route 53 Ste C
Lisle, IL 60532-3394

Mailing address

11742 Kristoffer Ln
Orland Park, IL 60467-6862

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
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 1629867098

Kelly Deangelo's National Provider Identifier is 1629867098, issued on May 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lisle, IL. The record was last updated on May 2, 2025.