KELLY VIERRA, LCSW
NPI 1326696154
Social Worker - Clinical in Chicago, IL

Active since August 26, 2019
4043 N RAVENSWOOD AVE STE 306D, CHICAGO, IL 60613(773) 807-8474 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2022, Aug 26, 2019 (2 updates tracked since 2019).

About Kelly Vierra, Lcsw NPPES

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

KELLY VIERRA, LCSW (NPI 1326696154) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since August 2019. The organization lists Kelly Vierra, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1326696154
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLY VIERRA, LCSW, LLC
Location Address4043 N RAVENSWOOD AVE STE 306DChicago, IL 60613-5683
Mailing Address4043 N Ravenswood Ave Ste 306dChicago, IL 60613-5683 · (773) 807-8474
Organization SubpartNo
Authorized OfficialKelly VierraClinical Therapist · (773) 807-8474
Enumeration DateAugust 26, 2019
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1326696154 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.

4043 N RAVENSWOOD AVE STE 306D, Chicago, IL 60613

Other Names 1

Doing Business AsKelly Vierra, Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
4043 N RAVENSWOOD AVE STE 306D
CHICAGO, IL 60613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326696154, enumerated as an "organization" on August 26, 2019.

The provider is located at 4043 N RAVENSWOOD AVE STE 306D CHICAGO, IL 60613 and the phone number is (773) 807-8474.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.