Individual provider Active NPI

Imani Clark, LSW

  • School Social Worker
  • Oak Lawn, IL
National Provider Identifier
1013831718
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
150.109143 Issued in IL
Practice address
10201 S Cicero Ave Ste F
Oak Lawn, IL 60453-4098
Phone
(708) 358-6937
Fax
(708) 232-8993
NPI assigned
Aug 5, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
School Social Worker 1041S0200X 150.109143 IL Primary

Addresses

Primary practice location

10201 S Cicero Ave Ste F
Oak Lawn, IL 60453-4098

Mailing address

9343 S Loomis St
Chicago, IL 60620-3614
Phone (773) 979-1347

Other names 1

  • Imani Auriel Lagrone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1013831718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 S LOOMIS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203614",
            "telephone_number": "773-979-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 S CICERO AVE STE F",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534098",
            "telephone_number": "708-358-6937",
            "fax_number": "708-232-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "IMANI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "150.109143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMANI",
            "last_name": "LAGRONE",
            "middle_name": "AURIEL",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.