Individual provider · Type 1 NPI

Jacqueline Carol Lane

Clinical Social Worker · Bradley, IL

NPI number 1497552566 Active

Practice location

525 E North St
Bradley, IL 60915-1185

Call (815) 322-7254 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1497552566

Jacqueline Carol Lane's National Provider Identifier is 1497552566, issued on Feb 26, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradley, IL. The record was last updated on Feb 26, 2025.