Shannon Lane, LCSW, CADC

NPI 1215278304 · on the registry since 2013

Practice

Address: 682 W Boughton Rd Ste B
Bolingbrook, IL 60440
Phone: (630) 945-0429
Organisation at this address: Power
Latrina Smith & Associates
Sandra Carlson & Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois