Stacy Kannenberg, LSW
Stacy Kannenberg, LSW is a Social Worker in Peoria Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2025.
- Licensed in
- IL
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LSW — Licensed Social Worker
- A state-licensed social worker.
Practice location Address checks out
1516 E Kelly AvePeoria Heights, IL 61616-6512
Phone: (309) 657-8779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (IL) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence 150.119170 (IL) |
Record details
| NPI number | 1790649986 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LSW |
| Sole proprietor | No |
| NPI enumerated | December 11, 2025 |
| Last updated in NPPES | October 9, 2026 |
| Certification date | October 9, 2026 |
Other providers in Peoria Heights
-
Pamella Anne Bess-Tabb, LCSW
712 E War Memorial Dr Ste D, Peoria Heights, IL 61616-7548 · (309) 326-5820