Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANDACE ROTH
ActiveClinical Social Worker · EAST PEORIA, IL
Registration Details
- NPI Number
- 1205184884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2012 (13.685453329716 yrs)
- Last Updated
- Jul 28, 2021
- License
-
149.023565 (IL)
Practice Information
- Address
-
411 E WASHINGTON STEAST PEORIA, IL, 616112663Browse IL providers · Browse ZIP 61611
- Phone
- 3092826704
- Fax
- 3093872340
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MS. LISA MARIE KYLE-WOLF | LCSW | 1306819776 |
| MS. NANCY S. EGGER | L.C.S.W. | 1972651479 |
| SARAH E MAKUTA | LCSW | 1528396157 |
| JESSICA HRDLICKA | — | 1073941696 |
| ILANA CRADDOCK | LCSW | 1356896930 |
| JERRI JEAN GENOVESE | MSW, LCSW, CADC | 1376103259 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.