Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shannon Lane, LCSW, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215278304

Mr. Shannon Lane, LCSW, CADC is an Addiction (Substance Use Disorder) Counselor in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

682 W Boughton Rd Ste B
Bolingbrook, IL 60440-2199
Phone: (630) 945-0429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.015175 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 28818 (IL)

Record details

NPI number1215278304
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CADC
Sole proprietorNo
NPI enumeratedMarch 14, 2013
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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