IndividualActive
Kelli Canada, LCSW
NPI 1336664705 · Clinical Social Worker · Mattoon, IL
Kelli Canada, LCSW is a Clinical Social Worker provider in Mattoon, IL (NPI 1336664705).
Provider details
- NPI number
- 1336664705
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149019506 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
911 Remington Rd Ste B
Mattoon, IL 61938-4210
Phone: (217) 234-3091
Fax: (217) 543-2548
Street-level locationGet directions
Mailing address
911 Remington Rd Ste B
Mattoon, IL 61938-4210
Additional practice locations (2)
- 525 N Vine StArthur, IL 61911-1130Phone: (217) 543-2446Fax: (217) 543-2548
- 700 Broadway Ave E Ste 39Mattoon, IL 61938-4662Phone: (217) 234-3091Fax: (217) 543-2548
Registry dates
- Enumerated
- 2017-08-07
- Last updated
- 2022-07-21
- Certified
- 2021-05-24
Frequently asked questions
- What is Kelli Canada's NPI number?
- Kelli Canada's National Provider Identifier (NPI) is 1336664705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelli Canada's specialty?
- Kelli Canada is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelli Canada located?
- Kelli Canada's practice location on file with NPPES is 911 Remington Rd Ste B, Mattoon, IL 61938-4210.
- What is Kelli Canada's phone number?
- The practice phone number listed in the NPPES registry for Kelli Canada is (217) 234-3091.
- Is Kelli Canada's NPI active?
- Yes — Kelli Canada's NPI (1336664705) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.