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

Samantha Lane, LCSW

Individual provider Clinical Social Worker · NPI 1063020246

Samantha Lane, LCSW is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
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

1623 N Western Ave
Chicago, IL 60647-5321
Phone: (312) 248-4460
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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 149.023055 (IL)

Record details

NPI number1063020246
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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