Individual
ALISON RAE KIENAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2704 N MAIN ST, ROCKFORD, IL 61103-3112
(866) 330-8729
Mailing address
291 BIENTERRA TRL APT 7, ROCKFORD, IL 61107-5889
(217) 848-6776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.113855
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/19/2024
Last updated
05/08/2026
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