MARY SUSAN TATE L.C.S.W.
NPI 1952693327
Social Worker - Clinical in Kankakee, IL

Active since May 04, 2011
1905 W COURT ST, KANKAKEE, IL 60901(815) 933-2240(815) 936-8659 Get Directions Write a Review

NPPES record last updated: May 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Susan Tate L.c.s.w. NPPES

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

MARY SUSAN TATE L.C.S.W. (NPI 1952693327) is an individual clinical provider in Kankakee, Illinois, licensed in Illinois (149004851) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1952693327
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY SUSAN TATECredential: L.C.S.W.
Location Address1905 W COURT STKankakee, IL 60901-3163
Mailing Address1905 W Court StKankakee, IL 60901-3163 · (815) 933-2240 · Fax (815) 936-8659
Fax(815) 936-8659
Sole ProprietorYes
Enumeration DateMay 4, 2011
NPI 1952693327 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 · 149004851
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.

1905 W COURT ST, Kankakee, IL 60901

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Clinic/Center (Radiology)
1905 W COURT ST
KANKAKEE, IL 60901
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Counselor (Professional)
1905 W COURT ST
KANKAKEE, IL 60901
Dietitian, Registered
1905 W COURT ST, ENTRANCE D
KANKAKEE, IL 60901
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Dietitian, Registered
1905 W COURT ST
KANKAKEE, IL 60901
Clinic/Center (Mental Health (Including Community Mental Health Center))
1905 W COURT ST, ENTRANCE A
KANKAKEE, IL 60901
Clinic/Center (Mental Health (Including Community Mental Health Center))
1905 W COURT ST
KANKAKEE, IL 60901
General Practice
1905 W COURT ST
KANKAKEE, IL 60901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952693327, enumerated as an "individual" on May 04, 2011.

The provider is located at 1905 W COURT ST KANKAKEE, IL 60901 and the phone number is (815) 933-2240.

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