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: August 16, 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 NPPES 11

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

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

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 Mary Tate's NPI number?

The NPI number for Mary Tate is 1952693327. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Mary Tate located?

Mary Tate practices at 1905 W Court St, Kankakee, IL 60901. The listed phone number is (815) 933-2240.

What is Mary Tate'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 Mary Tate was last updated on May 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.