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

Mary Susan Tate, LCSW

Individual provider Clinical Social Worker · NPI 1952693327

Mary Susan Tate, LCSW is a Clinical Social Worker in Kankakee, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
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

1905 W Court St
Kankakee, IL 60901-3163
Phone: (815) 933-2240
Fax: (815) 936-8659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149004851 (IL)

Record details

NPI number1952693327
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 4, 2011
Last updated in NPPESMay 4, 2011

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