KIM MARIE DONOVAN LCSW
NPI 1225674674
Social Worker - Clinical in Roscoe, IL

Active since November 20, 2019
11447 2ND ST STE 9B, ROSCOE, IL 61073(815) 601-4673 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Marie Donovan Lcsw NPPES

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

KIM MARIE DONOVAN LCSW (NPI 1225674674) is an individual clinical provider in Roscoe, Illinois, licensed in Illinois (149.019932) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1225674674
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM MARIE DONOVANCredential: LCSW
Location Address11447 2ND ST STE 9BRoscoe, IL 61073-9522
Mailing Address6426 Twin Deer RunRoscoe, IL 61073-7239 · (815) 222-9061
Sole ProprietorNo
Enumeration DateNovember 20, 2019
NPI 1225674674 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 · 149.019932
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.
11447 2ND ST STE 9B, Roscoe, IL 61073

Other Providers at the Same Location NPPES 19

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

Social Worker
11447 2ND ST STE 9B
ROSCOE, IL 61073
Counselor (Mental Health)
11447 2ND ST STE 9B
ROSCOE, IL 61073
Counselor (Professional)
11447 2ND ST STE 9B
ROSCOE, IL 61073
Counselor (Addiction (Substance Use Disorder))
11447 2ND ST STE 9B
ROSCOE, IL 61073
Counselor (Professional)
11447 2ND ST STE 9B
ROSCOE, IL 61073
Physical Therapist
11447 2ND ST STE 9B
ROSCOE, IL 61073
Counselor (Professional)
11447 2ND ST STE 9B
ROSCOE, IL 61073
Social Worker (Clinical)
11447 2ND ST STE 9B
ROSCOE, IL 61073

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 Kim Donovan's NPI number?

The NPI number for Kim Donovan is 1225674674. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Kim Donovan located?

Kim Donovan practices at 11447 2nd St Ste 9B, Roscoe, IL 61073. The listed phone number is (815) 601-4673.

What is Kim Donovan'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 Kim Donovan was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.