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

MS. Lisa Marie Kyle-Wolf, LCSW

Individual provider Clinical Social Worker · NPI 1306819776

MS. Lisa Marie Kyle-Wolf, LCSW is a Clinical Social Worker in East Peoria, Illinois. Qualified in 1988, 38 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Illinois.

Years since qualifying
38
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.

See every abbreviation used in this directory →

Practice location Address checks out

1281 Spring Bay Rd
East Peoria, IL 61611-9779
Phone: (309) 696-8369
Fax: (312) 254-1423
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 149002070 (IL)

Record details

NPI number1306819776
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in East Peoria