Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA MARIE KYLE-WOLF, LCSW
Active Sole ProprietorClinical Social Worker · EAST PEORIA, IL
Registration Details
- NPI Number
- 1306819776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2006 (20.238879522582 yrs)
- Last Updated
- Jan 27, 2026
- License
-
149002070 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1281 SPRING BAY RDEAST PEORIA, IL, 616119779Browse IL providers · Browse ZIP 61611
- Phone
- 3096968369
- Fax
- 3122541423
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MS. NANCY S. EGGER | L.C.S.W. | 1972651479 |
| SARAH E MAKUTA | LCSW | 1528396157 |
| KANDACE ROTH | — | 1205184884 |
| JESSICA HRDLICKA | — | 1073941696 |
| ILANA CRADDOCK | LCSW | 1356896930 |
| JERRI JEAN GENOVESE | MSW, LCSW, CADC | 1376103259 |
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.