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KEVIN JOSEPH ELLIOTT
NPI 1003395831
Social Worker - Clinical in Champaign, IL

Active since August 13, 2018
1807 S NEIL ST, CHAMPAIGN, IL 61820(815) 878-5078 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2021, Jan 8, 2020, Aug 13, 2018 (3 updates tracked since 2018).

About Kevin Joseph Elliott NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JOSEPH ELLIOTT (NPI 1003395831) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149022425) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1003395831
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN JOSEPH ELLIOTT
Location Address1807 S NEIL STChampaign, IL 61820-7215
Mailing Address1807 S Neil StChampaign, IL 61820-7215 · (815) 878-5078
Phone(815) 878-5078
Sole ProprietorNo
Enumeration DateAugust 13, 2018
Last NPPES UpdateApril 30, 20213 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1003395831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149022425
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1807 S NEIL ST, Champaign, IL 61820
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRAVIS GOETTEMOELLER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1807 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 607-8126
FOCUS ENDOCRINOLOGY, PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1807 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 607-8126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Elliott's NPI number?

The NPI number for Kevin Elliott is 1003395831. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Kevin Elliott located?

Kevin Elliott practices at 1807 S Neil St, Champaign, IL 61820. The listed phone number is (815) 878-5078.

What is Kevin Elliott's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kevin Elliott was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.