STACEY DIANNE ROBERTSON LCSW
NPI 1265101653
Social Worker - Clinical in Broadview, IL

Active since September 08, 2021
2345 S 19TH AVE, BROADVIEW, IL 60155(708) 752-6965 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stacey Dianne Robertson Lcsw NPPES

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

STACEY DIANNE ROBERTSON LCSW (NPI 1265101653) is an individual clinical provider in Broadview, Illinois, licensed in Illinois (149010259) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1265101653
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY DIANNE ROBERTSONCredential: LCSW
Location Address2345 S 19TH AVEBroadview, IL 60155-3933
Mailing Address2345 S 19th AveBroadview, IL 60155-3933 · (708) 752-6965
Sole ProprietorYes
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
NPI 1265101653 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 · 149010259
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.
2345 S 19TH AVE, Broadview, IL 60155

Other Names 1

Former Name (1)Stacey Dianne Williams Lcsw

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 Stacey Robertson's NPI number?

The NPI number for Stacey Robertson is 1265101653. It was assigned to this individual provider in the NPPES registry on September 8, 2021. The provider is also known as Stacey Dianne Williams Lcsw.

Where is Stacey Robertson located?

Stacey Robertson practices at 2345 S 19th Ave, Broadview, IL 60155. The listed phone number is (708) 752-6965.

What is Stacey Robertson'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 Stacey Robertson was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.