IndividualActive
Kevin Commodore, MSW, LSW
NPI 1194439844 · Social Worker · Crete, IL
Kevin Commodore, MSW, LSW is a Social Worker provider in Crete, IL (NPI 1194439844).
Provider details
- NPI number
- 1194439844
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LSW
- Sex
- Male
- Sole proprietor
- No
- License
- 150.109036 (IL)
Practice location
534 1st St Ste a
Crete, IL 60417-2153
Phone: (708) 880-7747
Fax: (708) 880-7787
Street-level locationGet directions
Mailing address
534 1st St Ste a
Crete, IL 60417-2153
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2023-01-09
- Certified
- 2023-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.