MR. MICHAEL JOHN TRADER L.C.S.W.
NPI 1053474460
Social Worker - Clinical in Rockford, IL

Active since December 18, 2006
129 PHELPS AVE, SUITE 818, ROCKFORD, IL 61108(815) 229-6316(815) 229-6316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael John Trader L.c.s.w. NPPES

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

MR. MICHAEL JOHN TRADER L.C.S.W. (NPI 1053474460) is an individual clinical provider in Rockford, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1053474460
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL JOHN TRADERCredential: L.C.S.W.
Location Address129 PHELPS AVE, SUITE 818Rockford, IL 61108-2453
Mailing Address129 S Phelps Ave, Suite 818Rockford, IL 61108-2453 · (815) 229-6316 · Fax (815) 229-6316
Fax(815) 229-6316
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053474460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
129 PHELPS AVE, Rockford, IL 61108

Other Identifiers 2

Other0010171232IL · Bcbs Of Illinois
Medicare ID-Type Unspecified939300IL

Other Providers at the Same Location NPPES 11

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

Chiropractor
129 PHELPS AVE, SUITE 316
ROCKFORD, IL 61108
Counselor (Professional)
129 PHELPS AVE, SUITE 204
ROCKFORD, IL 61108
Dentist
129 PHELPS AVE, SUITE 307
ROCKFORD, IL 61108
Specialist
129 PHELPS AVE, SUITE 508
ROCKFORD, IL 61108
Internal Medicine (Interventional Cardiology)
129 PHELPS AVE, SUITE 406
ROCKFORD, IL 61108
Specialist
129 PHELPS AVE
ROCKFORD, IL 61108
Massage Therapist
129 PHELPS AVE
ROCKFORD, IL 61108
Counselor (Professional)
129 PHELPS AVE, SUITE 910
ROCKFORD, IL 61108

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 Michael Trader's NPI number?

The NPI number for Michael Trader is 1053474460. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Michael Trader located?

Michael Trader practices at 129 Phelps Ave Suite 818, Rockford, IL 61108. The listed phone number is (815) 229-6316.

What is Michael Trader'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 Michael Trader was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.