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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH J STALL, LCSW

Active Sole Proprietor

MR. KENNETH J STALL, LCSW is a Clinical Social Worker healthcare provider located in LIBERTYVILLE, Illinois. NPI 1245344837 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LIBERTYVILLE, IL

Registration Details

NPI Number
1245344837
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2006 (20.002874120181 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
1117 S MILWAUKEE AVE
LIBERTYVILLE, IL, 600483798
Browse IL providers · Browse ZIP 60048
Phone
8473676900
Fax
8478166447
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LIBERTYVILLE, IL

Name Credential NPI
ARLENE ANN MESSNER -PETERS LCSW MSW 1356394886
KAREN G MEYER L.C.S.W 1023043809
MRS. PENELOPE A KLESTINSKI LCSW 1265545628
MRS. RITA J JOHNSON LCSW 1730292152
CARYN E MEYER MSW 1154435113
MS. DEANE R. HAPP MSW, LCSW 1154435832
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.