MR. SHANNON LANE LCSW, CADC
NPI 1215278304
Social Worker - Clinical in Bolingbrook, IL

Active since March 14, 2013
682 W BOUGHTON RD STE B, BOLINGBROOK, IL 60440(630) 945-0429 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Shannon Lane Lcsw, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANNON LANE LCSW, CADC (NPI 1215278304) is an individual clinical provider in Bolingbrook, Illinois, licensed in Illinois (149.015175) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1215278304
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANNON LANECredential: LCSW, CADC
Location Address682 W BOUGHTON RD STE BBolingbrook, IL 60440-2199
Mailing Address682 W Boughton Rd Ste BBolingbrook, IL 60440-2199 · (630) 945-0429
Sole ProprietorNo
Enumeration DateMarch 14, 2013
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1215278304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.015175
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 28818 (IL)
682 W BOUGHTON RD STE B, Bolingbrook, IL 60440

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
682 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440
Counselor (Professional)
682 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440
Social Worker
682 W BOUGHTON RD STE B
BOLINGBROOK, IL 60440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Lane's NPI number?

The NPI number for Shannon Lane is 1215278304. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Where is Shannon Lane located?

Shannon Lane practices at 682 W Boughton Rd Ste B, Bolingbrook, IL 60440. The listed phone number is (630) 945-0429.

What is Shannon Lane's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shannon Lane was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.