Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON LILLICH, CSW-PIP, QMHP
Active Sole ProprietorMR. JASON LILLICH, CSW-PIP, QMHP is a Clinical Social Worker healthcare provider located in LEMMON, South Dakota. NPI 1821593005 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LEMMON, SD
Registration Details
- NPI Number
- 1821593005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2018 (8.1990132609174 yrs)
- Last Updated
- Jun 19, 2024
- License
-
4762 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 4TH STREET EASTLEMMON, SD, 57638Browse SD providers · Browse ZIP 57638
- Phone
- 6053743862
- Fax
- 6053743864
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.