IndividualActive
Kaela Champion
NPI 1649097361 · Clinical Social Worker · Brookfield, IL
Provider details
- NPI number
- 1649097361
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23474 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3724 Grand Blvd Apt 2
Brookfield, IL 60513-1641
Phone: (419) 309-0237
Approximate (ZIP-level) locationGet directions
Mailing address
3724 Grand Blvd Apt 2
Brookfield, IL 60513-1641
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.