IndividualActive
Stacey Robertson, LCSW
NPI 1265101653 · Clinical Social Worker · Broadview, IL
Provider details
- NPI number
- 1265101653
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149010259 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2345 S 19th Ave
Broadview, IL 60155-3933
Phone: (708) 752-6965
Approximate (ZIP-level) locationGet directions
Mailing address
2345 S 19th Ave
Broadview, IL 60155-3933
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.