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LIGHT SOURCE LLC
NPI 1902454689
Social Worker - Clinical in Belleville, IL

Active since August 27, 2019
114 E LINCOLN ST, BELLEVILLE, IL 62220(618) 444-9934 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Light Source Llc NPPES

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

LIGHT SOURCE LLC (NPI 1902454689) is a healthcare organization registered as a clinical in Belleville, Illinois and active in the NPI registry since August 2019. The organization lists Charles Franke, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1902454689
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIGHT SOURCE LLC
Location Address114 E LINCOLN STBelleville, IL 62220-2251
Mailing Address114 E Lincoln StBelleville, IL 62220-2251 · (618) 444-9934
Phone(618) 444-9934
Organization SubpartNo
Authorized OfficialCharles FrankeLcsw/owner · (618) 444-9934
Enumeration DateAugust 27, 2019
✔ NPI 1902454689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
114 E LINCOLN ST, Belleville, IL 62220
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

KY A MILLER MSW, LSW, LCSW
Social Worker (Clinical)
114 E LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (618) 373-9029
RACHEL JEAN HUDSON MSW
Social Worker
114 E LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (217) 816-2184
HOLLY DEANNE GAMROTH
Social Worker (Clinical)
114 E LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (812) 343-8179
KAYLA L ANDERSON LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
114 E LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (217) 473-8726
TERESA STRONG LCSW
Social Worker (Clinical)
114 E LINCOLN ST
BELLEVILLE, IL 62220
St. Clair County (314) 492-6896

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 Light Source LLC's NPI number?

The NPI number for Light Source LLC is 1902454689. It was assigned to this organization in the NPPES registry on August 27, 2019.

Where is Light Source LLC located?

Light Source LLC is located at 114 E Lincoln St, Belleville, IL 62220. The listed phone number is (618) 444-9934.

What is Light Source LLC'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 Light Source LLC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.