Individual provider Active NPI

Robert A Lasica, LCSW

  • Clinical Social Worker
  • Wood Dale, IL
National Provider Identifier
1043830771
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149019816 Issued in IL
Practice address
144 Spring Oaks Dr
Wood Dale, IL 60191-2243
Phone
(630) 842-4477
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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 149019816 IL Primary

Addresses

Primary practice location

144 Spring Oaks Dr
Wood Dale, IL 60191-2243

Mailing address

144 Spring Oaks Dr
Wood Dale, IL 60191-2243
Phone (630) 842-4477

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
I20200716002878 IL Practitioner - Clinical Social Worker 9830513357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walking Together Therapy Associates PCGroup PAC ID 1557844768, 5 clinicians
Patrick J Kennelly and Associates P CGroup PAC ID 2860425113, 6 clinicians

Practice addresses (Care Compare)

1340 Remington Rd
Suite N
Schaumburg, IL 60173-4821
Phone (847) 310-8578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick J Kennelly and Associates P C CurrentSince Jun 1, 2020 Accepting new patients
Walking Together Therapy Associates PC CurrentSince Dec 5, 2025 Accepting new patients

Locations

1340 Remington Rd
Ste N
Schaumburg, IL 60173
Phone (630) 310-8578

528 W Roosevelt Rd
Ste 201
Wheaton, IL 60187
Phone (847) 310-8578

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1043830771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SPRING OAKS DR",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912243",
            "telephone_number": "630-842-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SPRING OAKS DR",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912243",
            "telephone_number": "630-842-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASICA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Dale, IL

Sources for this page

Verify at the official NPI Registry.