SearchIllinoisClinical Social Worker

Matthew Staley, LCSW

NPI 1770123671 · on the registry since 2020

Practice

Address
25480 W Cedar Crest Ln
Lake Villa, IL 60046
Phone
(847) 356-8205
Organisation at this address
Gateway Foundation Inc.
Gateway Foundation Inc.
Gateway Foundation Inc.
Gateway Foundation, Inc.
Gateway Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois