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NPI Code Detail

MEDICARE: MS. LISA ANNE DOLE LCSW

MEDICARE:  MS. LISA ANNE DOLE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149.031244IL

General Provider Information

NPI Number : 1033064035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA ANNE DOLE LCSW
Provider Business Mailing Address
First Line : 11002 LAKE RD
Second Line :
City : HIGHLAND
State : IL
Zip : 62249-3932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11002 LAKE RD
Second Line :
City : HIGHLAND
State : IL
Zip : 62249-3932
Country : US
Telephone Number : 630-518-5742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ MS. LISA ANNE DOLE LCSW” Practice Location

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