IndividualActive
Kevin Elliott
NPI 1003395831 · Clinical Social Worker · Champaign, IL
Kevin Elliott is a Clinical Social Worker provider in Champaign, IL (NPI 1003395831).
Provider details
- NPI number
- 1003395831
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 149022425 (IL)
Practice location
1807 S Neil St
Champaign, IL 61820-7215
Phone: (815) 878-5078
Street-level locationGet directions
Mailing address
1807 S Neil St
Champaign, IL 61820-7215
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.