Lisa Marcus LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015628 Issued in IL

Legal business name

LISA MARCUS LCSW LLC

Practice address

244 S Oakland GRV
Elmhurst, IL 60126-3052

Phone

(708) 638-6719

NPI assigned

Jan 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Marie Marcus, LCSW

Title

Owner/Therapist

Phone

(708) 638-6719

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1003314840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E BUTTERFIELD RD # 462",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265103",
            "telephone_number": "708-638-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S OAKLAND GRV",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263052",
            "telephone_number": "708-638-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Butterfield Rd Ste 103W",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605233418",
            "country_code": "US",
            "telephone_number": "630-359-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LISA MARCUS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "708-638-6719",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.