Healthcare Provider Details

I. General information

NPI: 1518827260
Provider Name (Legal Business Name): KAYLIN FLEISHER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 ILLINOIS AVE UNIT 1D
SAINT CHARLES IL
60174-2966
US

IV. Provider business mailing address

1100 JORIE BLVD STE 300
OAK BROOK IL
60523-2219
US

V. Phone/Fax

Practice location:
  • Phone: 855-205-4764
  • Fax:
Mailing address:
  • Phone: 630-974-6602
  • Fax: 630-487-2411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.042061
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: