KAMERON NICOLE CLUCHEY MSW, LCSW
NPI 1841928611
Social Worker - School in St Charles, IL
Active since August 10, 2022
About Kameron Nicole Cluchey Msw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAMERON NICOLE CLUCHEY MSW, LCSW (NPI 1841928611) is an individual school provider in St Charles, Illinois, licensed in Illinois (2047269) and active in the NPI registry since August 2022. She maintains a secondary practice location in Batavia.
NPPES Registry Identity
NPI1841928611
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameKAMERON NICOLE CLUCHEYCredential: MSW, LCSW
Location Address1200 DUNHAM RDSt Charles, IL 60174-5728
Mailing Address653 Downing StElburn, IL 60119-8866 · (630) 292-4331
Phone(331) 228-5652
Sole ProprietorYes
Enumeration DateAugust 10, 2022
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1841928611 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in IL · 2047269
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149025247 (IL)
1200 DUNHAM RD, St Charles, IL 60174
Other Names 1
Former Name (1)Kameron Nicole Breunlin
Secondary Practice Location 1
Location 113 E Wilson StBatavia, IL 60510-2656 · Phone (630) 587-3791 ext. 492
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841928611, enumerated as an "individual" on August 10, 2022.
The provider is located at 1200 DUNHAM RD ST CHARLES, IL 60174 and the phone number is (331) 228-5652.
Social Worker with taxonomy code 1041S0200X and a focus in School.
