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

Kettisha M Hodges, LCSW

Individual provider Counselor · NPI 1235425620

Kettisha M Hodges, LCSW is a Clinical Social Worker in Quincy, Illinois. Qualified in 2004, 22 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
22
Licensed in
IL, MO
In the registry since
2011
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

2001 Maine St Ste 102
Quincy, IL 62301-6230
Phone: (217) 740-2719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 Maine St, Quincy, IL 62301-4038 — (217) 222-6550

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149018038 (IL)
Counselor Taxonomy 101Y00000X · Licence 2010028380 (MO)

Record details

NPI number1235425620
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 23, 2011
Last updated in NPPESNovember 4, 2021
Certification dateJuly 5, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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