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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANNON LANE, LCSW, CADC

Active

MR. SHANNON LANE, LCSW, CADC is a Clinical Social Worker healthcare provider located in BOLINGBROOK, Illinois. NPI 1215278304 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOLINGBROOK, IL

Registration Details

NPI Number
1215278304
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2013 (13.401770884348 yrs)
Last Updated
Aug 15, 2024
Licenses
28818 (IL)
149.015175 (IL)

Practice Information

Address
682 W BOUGHTON RD STE B
BOLINGBROOK, IL, 604402199
Browse IL providers · Browse ZIP 60440
Phone
6309450429
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BOLINGBROOK, IL

Name Credential NPI
MS. MICHELE L TANTILLO LCSW 1679558571
LINDA BARBARA HOOPER LCSW 1073608527
MS. GAIL MAUREEN WEST HOOPER LCSW 1649349473
BROOKE E STOUT 1942411186
ANNA J CARTER MSW, LCSW 1225216757
ANN BRIDGET HEALY LCSW 1124343991
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.