Smebakken, Lessi J
Smebakken, Lessi J is an individual health care provider with primary practice located at 970 Mchenry Ave , Crystal Lake IL 60014-7449. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Smebakken, Lessi J can be contacted via phone (815) 455-7100.Contact Information
Primary practice address
970 Mchenry Ave
Crystal Lake IL 60014-7449
Phone: (815) 455-7100
Fax: (815) 455-3951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 149-005313 | Illinois |
Profile Details
| NPI number | 1609875616 |
|---|---|
| LBN Legal business name | Smebakken, Lessi J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Aug 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609875616 | NPPES |
| Illinois | Other | 05619771 | BCBS |
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