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RIVER KETCHERSIDE
NPI 1467116061
Social Worker in Carterville, IL

Active since October 29, 2021
403 MUNICIPAL DR, CARTERVILLE, IL 62918(855) 608-3560(618) 956-9349 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About River Ketcherside NPPES

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

RIVER KETCHERSIDE (NPI 1467116061) is an individual social worker in Carterville, Illinois, licensed in Illinois (150109270) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1467116061
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameRIVER KETCHERSIDE
Location Address403 MUNICIPAL DRCarterville, IL 62918-2042
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 652-4100 · Fax (314) 845-5016
Phone(855) 608-3560
Fax(618) 956-9349
Sole ProprietorNo
Enumeration DateOctober 29, 2021
Last NPPES UpdateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1467116061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150109270
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
403 MUNICIPAL DR, Carterville, IL 62918
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Other Providers at the Same Location NPPES 20

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

JODI BRADLEY ADN, RN
Registered Nurse
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
MS. LISA MARIE KOEGLER MS,LCPC
Counselor (Mental Health)
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
ANNA WALKER MSW,LCSW
Social Worker (Clinical)
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3656
BRIDGETT HOLDER MSW, MHP
Counselor (Mental Health)
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
TAMARA SAMPLES MS
Counselor
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
DANIELLE CONNER MSW, LSW
Social Worker
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
CHARMONIQUE ROGERS MA
Counselor
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
ERICH PILZ
Counselor
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560

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 River Ketcherside's NPI number?

The NPI number for River Ketcherside is 1467116061. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is River Ketcherside located?

River Ketcherside practices at 403 Municipal Dr, Carterville, IL 62918. The listed phone number is (855) 608-3560.

What is River Ketcherside's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for River Ketcherside was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.