Individual provider · Type 1 NPI

Kelly Ann Vatianou, LCSW

Clinical Social Worker · Sugar Grove, IL

NPI number 1750835716 Active

Practice location

76 S Main St, #B
Sugar Grove, IL 60554-5023

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X15009806 (IL)
Clinical Social Worker Primary 1041C0700X149018287 (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 1750835716

Kelly Ann Vatianou, LCSW's National Provider Identifier is 1750835716, issued on Aug 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sugar Grove, IL. The record was last updated on Aug 8, 2016.