MR. KEVIN DODGE
NPI 1114355351
Social Worker in Bloomington, IL

Active since October 25, 2013
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701(309) 827-6026(309) 820-3745 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Dodge NPPES

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

MR. KEVIN DODGE (NPI 1114355351) is an individual social worker in Bloomington, Illinois and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1114355351
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KEVIN DODGE
Location Address1003 MARTIN LUTHER KING DRBloomington, IL 61701-1429
Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429 · (309) 827-6026 · Fax (309) 820-3745
Fax(309) 820-3745
Sole ProprietorNo
Enumeration DateOctober 25, 2013
NPI 1114355351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1003 MARTIN LUTHER KING DR, Bloomington, IL 61701

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Social Worker (Clinical)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Psychologist (Clinical)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Mental Health)
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Counselor (Addiction (Substance Use Disorder))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701
Clinic/Center (Mental Health (Including Community Mental Health Center))
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701

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 Dodge's NPI number?

The NPI number for Kevin Dodge is 1114355351. It was assigned to this individual provider in the NPPES registry on October 25, 2013.

Where is Kevin Dodge located?

Kevin Dodge practices at 1003 Martin Luther King Dr, Bloomington, IL 61701. The listed phone number is (309) 827-6026.

What is Kevin Dodge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kevin Dodge was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.