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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.Information from the official NPPES registry record, last updated May 4, 2011.

NPPES Registry Identity

NPI1952693327
Entity TypeIndividualFemale
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
Phone(815) 933-2240
Fax(815) 936-8659
Sole ProprietorYes
Enumeration DateMay 4, 2011
✔ NPI 1952693327 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

✔ Licensed in IL · 149004851

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… Show more

1905 W COURT ST, Kankakee, IL 60901
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Other Providers at the Same Location


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

KANKAKEE RADIOLOGY ASSOCIATES, S.C.
Clinic/Center (Radiology)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7525
MR. HERBERT LEON STRICKLIN LCPC
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
DELORES P WARD M.S.R.N.
Counselor (Mental Health)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
WENDY S. CRAYS LCPC
Counselor (Professional)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 936-7373
VICKY LYNN MANSBERGER R.D.
Dietitian, Registered
1905 W COURT ST, ENTRANCE D
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
MS. JULENE S. BOWLEY-VOGEN LCSW
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
MS. HEATHER MARIE SPINA LCSW
Social Worker (Clinical)
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
MRS. AMY HERTZ R.D., L.D.N.
Dietitian, Registered
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 936-6515
OAKSIDE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1905 W COURT ST, ENTRANCE A
KANKAKEE, IL 60901
Kankakee County (815) 933-2240
RIVERSIDE MEDICAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
RIVERSIDE HEALTH SYSTEM
General Practice
1905 W COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7526

Frequently Asked Questions

What is Mary Tate's NPI number?

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

Where is the provider located?

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

What is the provider's specialty?

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