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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609875616 NPPES
Illinois Other 05619771 BCBS

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