Individual provider Active NPI

Marla Lichterman, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1003510579
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006616 Issued in IL
Practice address
3033 W Touhy Ave
Chicago, IL 60645-2833
Phone
(773) 508-1000
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149006616 IL Primary

Addresses

Primary practice location

3033 W Touhy Ave
Chicago, IL 60645-2833

Mailing address

3003 W Touhy Ave
Chicago, IL 60645-2833
Phone (773) 508-1000

Other practice location 1

829 Glen Crest Dr
Glen Ellyn, IL 60137-6468
Phone (630) 336-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504002327 IL Practitioner - Clinical Social Worker 7517322035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Council for Jewish ElderlyGroup PAC ID 8224932702, 20 clinicians

Practice addresses (Care Compare)

3033 W Touhy Ave
Chicago, IL 60645-2833
Phone (773) 508-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006616ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Council for Jewish Elderly CurrentSince Apr 17, 2025 Accepting new patients
Council for Jewish Elderly Clinical CurrentSince Apr 17, 2025 Accepting new patients

Locations

3003 W Touhy Ave
Chicago, IL 60645
Phone (773) 508-1000

3033 W Touhy Ave
Chicago, IL 60645
Phone (773) 508-1000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003510579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-508-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-508-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Glen Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376468",
            "country_code": "US",
            "telephone_number": "630-336-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTERMAN",
        "first_name": "MARLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.