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MATTHEW STALEY LCSW
NPI 1770123671
Social Worker - Clinical in Lake Villa, IL

Active since January 09, 2020
25480 W CEDAR CREST LN, LAKE VILLA, IL 60046(847) 356-8205 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Staley Lcsw NPPES

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

MATTHEW STALEY LCSW (NPI 1770123671) is an individual clinical provider in Lake Villa, Illinois, licensed in Illinois (149021089) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1770123671
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW STALEYCredential: LCSW
Location Address25480 W CEDAR CREST LNLake Villa, IL 60046-9744
Mailing Address55 E Jackson Blvd Ste 1500Chicago, IL 60604-4184
Phone(847) 356-8205
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
✔ NPI 1770123671 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 · 149021089
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.
25480 W CEDAR CREST LN, Lake Villa, IL 60046
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Other Identifiers 1

Other149021089IL · State Of Illinois

Other Providers at the Same Location NPPES 9

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

PATRICIA CERENIL
Counselor
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
GATEWAY PROFESSIONAL SERVICES, PC
Counselor (Addiction (Substance Use Disorder))
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (877) 381-6538
EMILY PETERS LPC
Counselor (Professional)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
GATEWAY FOUNDATION, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (877) 505-4673
GATEWAY FOUNDATION INC.
Substance Abuse Rehabilitation Facility
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
DIANNE ROBINSON LCSW
Social Worker (Clinical)
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
GATEWAY FOUNDATION INC.
Substance Abuse Rehabilitation Facility
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205
GATEWAY FOUNDATION INC.
Substance Abuse Rehabilitation Facility
25480 W CEDAR CREST LN
LAKE VILLA, IL 60046
Lake County (847) 356-8205

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 Matthew Staley's NPI number?

The NPI number for Matthew Staley is 1770123671. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Matthew Staley located?

Matthew Staley practices at 25480 W Cedar Crest Ln, Lake Villa, IL 60046. The listed phone number is (847) 356-8205.

What is Matthew Staley'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 Matthew Staley was last updated on January 9, 2020. 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.