Doctor Name: | JENNIFER DAHL CRANE |
NPI Number: | 1265803845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 149.014694 |
Business Practice Address: | 917 Sherwood Dr Suite 201 Lake Bluff, IL - 600442203 |
Business Phone Number: | 8774864140 |
Business Fax Number: | 8474864145 |
Mailing Address: | 950 Lee St, Suite 212 DES PLAINES |
State: | IL |
Postal Code: | 600166532 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.014694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |