Provider Demographics
NPI:1598187072
Name:PILCHER, CASEY (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:PILCHER
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 CRESTDALE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-6457
Mailing Address - Country:US
Mailing Address - Phone:815-277-9559
Mailing Address - Fax:
Practice Address - Street 1:4320 SPRING CREEK RD
Practice Address - Street 2:STE 18
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-1158
Practice Address - Country:US
Practice Address - Phone:847-346-7419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490163941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical