IndividualActive
River Ketcherside
NPI 1467116061 · Social Worker · Carterville, IL
River Ketcherside is a Social Worker provider in Carterville, IL (NPI 1467116061).
Provider details
- NPI number
- 1467116061
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 150109270 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
403 Municipal Dr
Carterville, IL 62918-2042
Phone: (855) 608-3560
Fax: (618) 956-9349
Approximate (ZIP-level) locationGet directions
Mailing address
915 N Grand Blvd
Saint Louis, MO 63106-1621
Registry dates
- Enumerated
- 2021-10-29
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Frequently asked questions
- What is River Ketcherside's NPI number?
- River Ketcherside's National Provider Identifier (NPI) is 1467116061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is River Ketcherside's specialty?
- River Ketcherside is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is River Ketcherside located?
- River Ketcherside's practice location on file with NPPES is 403 Municipal Dr, Carterville, IL 62918-2042.
- What is River Ketcherside's phone number?
- The practice phone number listed in the NPPES registry for River Ketcherside is (855) 608-3560.
- Is River Ketcherside's NPI active?
- Yes — River Ketcherside's NPI (1467116061) is active in the NPPES registry as of the last update on 2024-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.