Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY DIANNE ROBERTSON, LCSW
Active Sole ProprietorSTACEY DIANNE ROBERTSON, LCSW is a Clinical Social Worker healthcare provider located in BROADVIEW, Illinois. NPI 1265101653 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROADVIEW, IL
Registration Details
- NPI Number
- 1265101653
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2021 (4.9119412442062 yrs)
- Last Updated
- Sep 8, 2021
- License
-
149010259 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2345 S 19TH AVEBROADVIEW, IL, 601553933Browse IL providers · Browse ZIP 60155
- Phone
- 7087526965
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BROADVIEW, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JEAN MAYS | LCSW | 1336268408 |
| MR. THOMAS ALAN PLACH | LCSW | 1457578965 |
| MS. KENITA J. PERRY-BELL | L.C.S.W. | 1780921494 |
| JANETH VAZQUEZ-ORTEGA | LCSW | 1962189241 |
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.