IndividualActive
Agnese Mactavish, LSW
NPI 1922735315 · Social Worker · Palatine, IL
Provider details
- NPI number
- 1922735315
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 150.108577 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1066 W Chatham Dr
Palatine, IL 60067-5864
Phone: (404) 488-9158
Approximate (ZIP-level) locationGet directions
Mailing address
1066 W Chatham Dr
Palatine, IL 60067-5864
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2022-08-04
- Certified
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.