| Jacqueline Carol Lane, | |
|
525 E North St, Bradley, IL 60915-1185 | |
| (815) 322-7254 | |
| Not Available |
| Full Name | Jacqueline Carol Lane |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 525 E North St, Bradley, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497552566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Carol Lane, 525 E North St, Bradley, IL 60915-1185 Ph: (815) 322-7254 | Jacqueline Carol Lane, 525 E North St, Bradley, IL 60915-1185 Ph: (815) 322-7254 |
Mrs. Debra Marie Tamez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 E North St Ste B, Bradley, IL 60915 Phone: 815-933-0667 Fax: 815-933-0665 | |
Robin Motz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 S Kennedy Dr, Bradley, IL 60915 Phone: 779-701-2000 | |
Miss Elizabeth Rieger, MS. LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 525 E North St, Ste B, Bradley, IL 60915 Phone: 815-933-0667 Fax: 815-933-0665 | |
Justin Gunderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 N Kennedy Dr, Suite 8, Bradley, IL 60915 Phone: 815-929-2009 Fax: 815-929-1284 | |
Kathleen Mary Connelly, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 Stebbings Ct Ste 1, Bradley, IL 60915 Phone: 815-944-2753 | |
Roger Hartline, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 272 S Prairie Ave, Bradley, IL 60915 Phone: 815-944-2501 |