Individual provider · Type 1 NPI
Kimberly Payne, LCSW
Clinical Social Worker · La Salle, IL
Practice location
918 1st St
La Salle, IL 61301-2538
Mailing address
461 N 2209th Rd
Oglesby, IL 61348-9521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.021506 (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 1790648103
Kimberly Payne, LCSW's National Provider Identifier is 1790648103, issued on Dec 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Salle, IL. The record was last updated on Dec 3, 2025.