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

Mr. Brian Keith Willis Jr., LCSW

Individual provider Clinical Social Worker · NPI 1407597412

Mr. Brian Keith Willis Jr., LCSW is a Clinical Social Worker in Matteson, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
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

3415 Station Dr
Matteson, IL 60443-2665
Phone: (815) 501-1060
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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 149.022160 (IL)

Record details

NPI number1407597412
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022

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