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

Mr. Michael John Trader, LCSW

Individual provider Clinical Social Worker · NPI 1053474460

Mr. Michael John Trader, LCSW is a Clinical Social Worker in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

129 Phelps Ave Ste 818
Rockford, IL 61108-2453
Phone: (815) 229-6316
Fax: (815) 229-6316
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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 (IL)

Record details

NPI number1053474460
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address129 S Phelps Ave, Suite 818, Rockford, IL 61108-2453

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