Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEN M SMITH
ActiveKELLEN M SMITH is a Clinical Social Worker healthcare provider located in FOX LAKE, Illinois. NPI 1306281324 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FOX LAKE, IL
Registration Details
- NPI Number
- 1306281324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2013 (13.139874640614 yrs)
- Last Updated
- Nov 5, 2024
- Licenses
-
150113514 (IL)30074 (IL)35098 (IL)
Practice Information
- Address
-
94 EAGLE POINT RDFOX LAKE, IL, 600201764Browse IL providers · Browse ZIP 60020
- Phone
- 8155288965
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
Other Clinical Social Worker Providers in FOX LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| TRACY MARIE COOPER | LCSW | 1447615729 |
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.