Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Elizabeth Rundall-Royal, LCSW

Individual provider Clinical Social Worker · NPI 1538708243

Nicole Elizabeth Rundall-Royal, LCSW is a Clinical Social Worker in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
Specialties on file
2
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

1302 Thoren Ln
Rockford, IL 61107-2662
Phone: (815) 978-6465
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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 149021663 (IL)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1538708243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 27, 2019
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019

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