Jancy Lundberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026816 Issued in IL

Practice address

825 W State St Ste 119D
Geneva, IL 60134-2079

Phone

(630) 296-9566

NPI assigned

Apr 23, 2024

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inner Growth Therapy Services, LLC

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1164980983
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1477308237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 N BARTON TRL",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107636",
            "telephone_number": "630-401-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W STATE ST STE 119D",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342079",
            "telephone_number": "630-296-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "JANCY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Loiacono, EDD
• S. Dale Loomis, M.D.
• Lora Windsor LCSW Cadc LTD.
• Amanda R Lucchetti, PSYD
• Kristy Luciano
• Edward Lutzow, PT
• Luxottica of America Inc (For Eyes (Cm257))
• Lyle Skinner LTD.
• Lynnea Therapy Services, PLLC
• Sheena Macgowan, ATC

• Clinical Social Worker in Geneva, IL
• Providers in Geneva, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.