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Contact Information

JERMAINE ANTHONY SR, LCSW,CRADC, DOT-SAP
8892 LOUISANA STREET, SUITE D-2
MERRILLVILLE, IN46410-4641
 Phone: 630-677-0450
 Fax: 314-431-6420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JERMAINE ANTHONY SR · (Male)

NPI # 1811435027
Status Active
Credentials LCSW,CRADC, DOT-SAP
Entity Individual
Enumeration date 02/08/2017
Last updated 01/29/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149.028647
  • IL License # 31221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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