IndividualActive
Debra Bryant, LCSW
NPI 1902278112 · Clinical Social Worker · Roscoe, IL
Provider details
- NPI number
- 1902278112
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149.001379 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11375 Linden Blossom Ln
Roscoe, IL 61073-9425
Phone: (815) 914-1484
Approximate (ZIP-level) locationGet directions
Mailing address
11375 Linden Blossom Ln
Roscoe, IL 61073-9425
Registry dates
- Enumerated
- 2015-10-27
- Last updated
- 2015-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.