Kathleen Diane Ely, LCSW

Clinical Social Worker · Sugar Grove, IL

Individual Active NPI

NPI number 1104055714

Practice location

172 Brookhaven Court
Sugar Grove, IL 60554
Phone
(630) 466-0019
Fax
(630) 809-5062

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NPI record

NPI
1104055714
Entity type
Individual (Type 1)
Enumeration date
July 6, 2009
Last updated
September 23, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.012496 IL
Clinical Social Worker 1041C0700X 149012496 IL

About Kathleen Ely

Kathleen Diane Ely, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 172 Brookhaven Court, Sugar Grove, IL 60554. The NPI number 1104055714 was assigned on July 6, 2009 and the record was last updated on September 23, 2009.

Kathleen Ely lists 2 licenses in the registry: #149.012496 (IL) for Clinical Social Worker; #149012496 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kathleen Diane Ely, LCSW?

The NPI number is 1104055714.

What is the phone number of Kathleen Ely?

The phone number listed for the practice location is (630) 466-0019.

Where is Kathleen Ely located?

172 Brookhaven Court, Sugar Grove, IL 60554.

What is the taxonomy code for Kathleen Ely?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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