Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jancey Lee Wickstrom, MA, LCSW

Individual provider Clinical Social Worker · NPI 1467695148

MS. Jancey Lee Wickstrom, MA, LCSW is a Clinical Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4611 N Ravenswood Ave Ste 201-202
Chicago, IL 60640-7564
Phone: (773) 510-4018
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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 149013445 (IL)

Record details

NPI number1467695148
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCSW
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESNovember 30, 2025
Certification dateNovember 30, 2025

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