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

DAVID REED LYSAKOWSKI, LCSW

Active

DAVID REED LYSAKOWSKI, LCSW is a Clinical Social Worker healthcare provider located in CENTREVILLE, Illinois. NPI 1245816826 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CENTREVILLE, IL

Registration Details

NPI Number
1245816826
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2021 (5.2136139250653 yrs)
Last Updated
Mar 23, 2021
License
149009090 (IL)

Practice Information

Address
5900 BOND AVE
CENTREVILLE, IL, 622072326
Browse IL providers · Browse ZIP 62207
Phone
6193325302
Fax
6183325285
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CENTREVILLE, IL

Name Credential NPI
MS. ALECIA E MARKS LCSW 1932722295
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.