Spencer, Lynette

Spencer, Lynette is an individual health care provider with primary practice located at 2325 Dean St Ste 308 , Saint Charles IL 60175-4810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spencer, Lynette can be contacted via phone (847) 867-8936.

Contact Information

Primary practice address
2325 Dean St Ste 308 Saint Charles IL 60175-4810
Phone: (847) 867-8936
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-007034 Illinois

Profile Details

NPI number 1013920792
LBN Legal business name Spencer, Lynette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 9th, 2024 - about last year

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 1013920792 NPPES
Illinois Other 066349 HEALTH ALLIANCE
Illinois MEDICAID 149007034 HEALTH ALLIANCE

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