Individual provider · Type 1 NPI

Kynda C. Canada, LCSW

Clinical Social Worker · Springfield, IL

NPI number 1891644837 Active

Practice location

501 W Elliott Ave
Springfield, IL 62702-3714

Fax (217) 775-0757

Mailing address

215 Bristol Rd
Chatham, IL 62629-9635

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.004440 (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 1891644837

Kynda C. Canada, LCSW's National Provider Identifier is 1891644837, issued on Jan 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, IL. The record was last updated on Sep 2, 2026.