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

Matthew Staley, LCSW

Individual provider Clinical Social Worker · NPI 1770123671

Matthew Staley, LCSW is a Clinical Social Worker in Lake Villa, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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

25480 W Cedar Crest Ln
Lake Villa, IL 60046-9744
Phone: (847) 356-8205
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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 149021089 (IL)

Record details

NPI number1770123671
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184

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