Katherine Storm Siadak, MSW
Social Worker, Clinical in St Charles, IL. Individual provider (NPI-1).
NPI number1497326367
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1497326367
- Entity type
- Individual (NPI-1)
- Name
- Katherine Storm Siadak
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2021
- Certification date
- Nov 30, 2022
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1121 E Main St Ste 210St Charles, IL 60174-2275
Phone 630-518-9360
Mailing address
703 Webster AveWheaton, IL 60187-4392
Phone 630-880-9744
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