Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETTISHA M HODGES, LCSW
Active Sole ProprietorKETTISHA M HODGES, LCSW is a Clinical Social Worker healthcare provider located in QUINCY, Illinois. NPI 1235425620 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · QUINCY, IL
Registration Details
- NPI Number
- 1235425620
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2011 (15.119318923772 yrs)
- Last Updated
- Nov 4, 2021
- Licenses
-
2010028380 (MO)149018038 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 MAINE ST. SUITE 102QUINCY, IL, 623016230Browse IL providers · Browse ZIP 62301
- Phone
- 2177402719
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in QUINCY, IL
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN ANN CARTER | L.C.S.W. | 1508805086 |
| STACY STOKES MELTON | LCSW | 1760410211 |
| LORI LYNN CARLSON | QMHP, MSW | 1619071255 |
| JOLENE A KISER | — | 1679677272 |
| MELISSA KAY PENN | LCSW | 1255439105 |
| ALAN RICHARD OBERT | MSW, LCSW | 1023116993 |
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.