KELLY FETHERLING LCSW
NPI 1215483979
Social Worker - Clinical in Elgin, IL

Active since August 31, 2016
6912 S MAIN ST., ELGIN, IL 60120(312) 241-0554 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Fetherling Lcsw NPPES

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

KELLY FETHERLING LCSW (NPI 1215483979) is an individual clinical provider in Elgin, Illinois, licensed in Illinois (149018591) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1215483979
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY FETHERLINGCredential: LCSW
Location Address6912 S MAIN ST.Elgin, IL 60120
Mailing Address1111 Clover Hill LnElgin, IL 60120-2395 · (312) 241-0554
Sole ProprietorYes
Enumeration DateAugust 31, 2016
NPI 1215483979 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 · 149018591
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.
6912 S MAIN ST., Elgin, IL 60120

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 Kelly Fetherling's NPI number?

The NPI number for Kelly Fetherling is 1215483979. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Kelly Fetherling located?

Kelly Fetherling practices at 6912 S Main St., Elgin, IL 60120. The listed phone number is (312) 241-0554.

What is Kelly Fetherling'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 Kelly Fetherling was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.