NPI 1003395831

Kevin Joseph Elliott

Practitioner Clinical Social Worker Champaign, IL

Practice location

Address: 1807 S Neil St, Champaign, IL 61820-7215
Phone: (815) 878-5078

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149022425 (IL)

Other Social Worker providers in Illinois →

Registry record

NPI: 1003395831
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2018
Record last updated: 30 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.