Lisa Anne Dole, LCSW

Individual provider Active NPI Clinical Social Worker · Highland, IL

NPI 1033064035 · NPPES record last updated Mar 4, 2026

Key facts

NPI
1033064035
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.031244 (IL)
Practice address
11002 Lake Rd
Highland, IL 62249-3932
Phone
(630) 518-5742
NPI assigned
Mar 4, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149.031244ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.031244 IL Yes

Addresses

Primary practice location

11002 Lake Rd
Highland, IL 62249-3932

Mailing address

11002 Lake Rd
Highland, IL 62249-3932

Other providers in Highland, IL

All providers in Highland, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.