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

Kimberly Payne, LCSW

Individual provider Clinical Social Worker · NPI 1790648103

Kimberly Payne, LCSW is a Clinical Social Worker in LA Salle, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
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

918 1st St
LA Salle, IL 61301-2538
Phone: (815) 303-8645
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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 149.021506 (IL)

Record details

NPI number1790648103
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address461 N 2209th Rd, Oglesby, IL 61348-9521

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