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

River Ketcherside

Individual provider Social Worker · NPI 1467116061

River Ketcherside is a Social Worker in Carterville, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

403 Municipal Dr
Carterville, IL 62918-2042
Phone: (855) 608-3560
Fax: (618) 956-9349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150109270 (IL)

Record details

NPI number1467116061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2021
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address915 N Grand Blvd, Saint Louis, MO 63106-1621

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