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

Individual provider Clinical Social Worker · NPI 1265101653

Stacey Dianne Robertson, LCSW is a Clinical Social Worker in Broadview, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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

2345 S 19th Ave
Broadview, IL 60155-3933
Phone: (708) 752-6965
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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 149010259 (IL)

Record details

NPI number1265101653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

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