Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Diane Ely, LCSW

Individual provider Clinical Social Worker · NPI 1104055714

Kathleen Diane Ely, LCSW is a Clinical Social Worker in Sugar Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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.

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Practice location Address checks out

172 Brookhaven Ct
Sugar Grove, IL 60554
Phone: (630) 466-0019
Fax: (630) 809-5062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.012496 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149012496 (IL)

Record details

NPI number1104055714
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 6, 2009
Last updated in NPPESSeptember 23, 2009

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