Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ann Marie Petty, LCSW, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770991820

Ann Marie Petty, LCSW, CADC is a Clinical Social Worker in Rockford, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1998, 28 years ago. Practices with Crusaders Central Clinic Association, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8616 Northern Ave, Rockford, IL 61107-5309 — (815) 399-9700

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149009048 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 18135 (IL)

Record details

NPI number1770991820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADC
Sole proprietorYes
NPI enumeratedJuly 31, 2014
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1998 (28 years in practice)
Group practice Crusaders Central Clinic Association — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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