Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194439844 Individual Practitioner Male Practitioner

Kevin Commodore , MSW, LSW

Social Worker • Crete, IL

Professional Overview & Biography Verified Profile Summary

Kevin Commodore, MSW, LSW is a registered healthcare professional specializing in Social Worker in Crete, IL. Practice services are available at 534 1ST ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

534 1st St Ste A

Crete, IL 604172153

Telephone 7088807747
Fax 7088807787
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Crete, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Crete, 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: 2023-01-08
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IL 150.109036

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

11 Associated Practitioners
Nerissa Vogt , LSW

Social Worker

NPI 1053264994

Licensed Social Worker

Darnise Horne , LSW

Social Worker

NPI 1386323558

Licensed Social Worker

NPI 1427984475

Master of Arts

Delores Mays

Social Worker

NPI 1437910445
Temika Walton-Clemons , LPC

Counselor - Professional

NPI 1629748041

Licensed Professional Counselor

NPI 1649106691

Master of Social Work, Licensed Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 09, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2023

Registered at 534 1ST ST STE A, CRETE, IL 604172153 (Tel: 7088807747)

📍
Updated Business Mailing Address January 09, 2023

Registered at 534 1ST ST STE A, CRETE, IL 604172153 (Tel: 7088807747)

👤
Provider Name / Credentials Updated January 09, 2023

Recorded as KEVIN COMMODORE, MSW, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Social Worker (License #150.109036 in IL)

🟢
Initial NPI Registration & Enumeration January 09, 2023

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: 1194439844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2023
Last Update: January 09, 2023
Sole Proprietor: No

Mailing Address

534 1st St Ste A

Crete, IL 604172153

Phone: 7088807747

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.