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MR. BRIAN KEITH WILLIS JR. LCSW
NPI 1407597412
Social Worker - Clinical in Matteson, IL

Active since April 05, 2022
3415 STATION DR, MATTESON, IL 60443(815) 501-1060 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Keith Willis Jr. Lcsw NPPES

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

MR. BRIAN KEITH WILLIS JR. LCSW (NPI 1407597412) is an individual clinical provider in Matteson, Illinois, licensed in Illinois (149.022160) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1407597412
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRIAN KEITH WILLIS JR.Credential: LCSW
Location Address3415 STATION DRMatteson, IL 60443-2665
Mailing Address3415 Station DrMatteson, IL 60443-2665
Phone(815) 501-1060
Sole ProprietorYes
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1407597412 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 · 149.022160
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.
3415 STATION DR, Matteson, IL 60443
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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 Brian Willis's NPI number?

The NPI number for Brian Willis is 1407597412. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Brian Willis located?

Brian Willis practices at 3415 Station Dr, Matteson, IL 60443. The listed phone number is (815) 501-1060.

What is Brian Willis'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 Brian Willis was last updated on April 5, 2022. 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.