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Kettisha Hodges, LCSW — NPI 1235425620, Quincy, IL | NPI Central

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Kettisha Hodges, LCSW

NPI 1235425620 · Clinical Social Worker · Quincy, IL

Provider details

NPI number: 1235425620
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Female
Sole proprietor: Yes
License: 2010028380 (MO)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 149018038 (IL)
Behavioral Health & Social Service Providers
Counselor101Y00000XLicense 2010028380 (MO)
Behavioral Health & Social Service Providers

Practice location

2001 Maine St. Suite 102

Quincy, IL 62301-6230

Phone: (217) 740-2719

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

609 S 2nd St

Canton, MO 63435-1626

Additional practice locations (1)

1025 Maine St
Quincy, IL 62301-4038
Phone: (217) 222-6550

Registry dates

Enumerated: 2011-06-23
Last updated: 2021-11-04
Certified: 2021-07-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.