Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY A KAVANAGH, LCSW
Active Sole ProprietorMS. KELLY A KAVANAGH, LCSW is a Clinical Social Worker healthcare provider located in WAUKEGAN, Illinois. NPI 1306111703 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WAUKEGAN, IL
Registration Details
- NPI Number
- 1306111703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2012 (14.383472096452 yrs)
- Last Updated
- Dec 30, 2020
- Licenses
-
150.013270 (IL)149.022674 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3010 GRAND AVEWAUKEGAN, IL, 600852321Browse IL providers · Browse ZIP 60085
- Phone
- 8473778950
- Fax
- 8479845602
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in WAUKEGAN, IL
| Name | Credential | NPI |
|---|---|---|
| ORLY AVIDOR | LCSW | 1043295140 |
| MISS MICHELE BIRKEY | LCSW | 1952327330 |
| WILLIAM P JACKSON | MSW, LCSW, ACSW | 1932128865 |
| LYNN J. HUGHES | LCSW | 1790705051 |
| WENDY POWELL | LCSW | 1124041843 |
| DANIEL MARTIN | LSW | 1598789885 |
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.