Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467116061 Individual Practitioner Male Practitioner

River Ketcherside

Social Worker • Carterville, IL

Professional Overview & Biography Verified Profile Summary

River Ketcherside is a registered healthcare professional specializing in Social Worker in Carterville, IL. Practice services are available at 403 MUNICIPAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

403 Municipal Dr

Carterville, IL 629182042

Telephone 8556083560
Fax 6189569349
Associated Practice Facility / Clinic
🏢 The H Group Bbt, Inc Facility NPI 1730453093

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Carterville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Carterville, IL (5960 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-13
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150109270

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jodi Bradley , ADN, RN

Registered Nurse

NPI 1003616095

ADN, Registered Nurse

Lisa Koegler , MS, LCPC

Counselor - Mental Health

NPI 1013233659

Master of Science, Licensed Clinical Professional Counselor

NPI 1013603042
Anna Walker , MSW, LCSW

Social Worker - Clinical

NPI 1013788132

Master of Social Work, Licensed Clinical Social Worker

Bridgett Holder , MSW, MHP

Counselor - Mental Health

NPI 1023531589

Master of Social Work, Mental Health Practitioner

NPI 1023720091

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 13, 2024

Registered at 915 N GRAND BLVD, SAINT LOUIS, MO 631061621 (Tel: 3146524100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2024

Social Worker (License #150109270 in IL)

NPI Profile Active October 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2021

Registered at 403 MUNICIPAL DR, CARTERVILLE, IL 629182042 (Tel: 8556083560)

📍
Updated Business Mailing Address October 29, 2021

Registered at 902 W MAIN ST, WEST FRANKFORT, IL 628962210 (Tel: 6189376483)

👤
Provider Name / Credentials Updated October 29, 2021

Recorded as RIVER KETCHERSIDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2021

Counselor

🟢
Initial NPI Registration & Enumeration October 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467116061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2021
Last Update: June 13, 2024
Sole Proprietor: No

Mailing Address

915 N Grand Blvd

Saint Louis, MO 631061621

Phone: 3146524100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.