Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chester A Carothers Jr., LCSW

Individual provider Clinical Social Worker · NPI 1265808612

Chester A Carothers Jr., LCSW is a Clinical Social Worker in Fairview Heights, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10314 Lincoln Trl Ste 106
Fairview Heights, IL 62208-1801
Phone: (618) 875-9355
Fax: (630) 425-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1435 Market Ave, East Saint Louis, IL 62201-1811 — (618) 875-9355

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.017330 (IL)

Record details

NPI number1265808612
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

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