Active NPI
Keeley Lawriw
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1043908791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016244
- Practice address
- 422 N Northwest Hwy Ste B4
Park Ridge, IL 60068-3272 - Phone
- (773) 339-5693
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016244 | IL | Primary |
Addresses
Primary practice location
422 N Northwest Hwy Ste B4
Park Ridge, IL 60068-3272
Mailing address
6219 W Peterson Ave
Chicago, IL 60646-4602
Phone (773) 339-5693
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016244 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1043908791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6219 W PETERSON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464602",
"telephone_number": "773-339-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 N NORTHWEST HWY STE B4",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683272",
"telephone_number": "773-339-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRIW",
"first_name": "KEELEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.