Organization Active NPI

Anna K. Lieblich, LCSW, LMFT, P.C.

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1053557215
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000445 Issued in IL
Legal business name
ANNA K. LIEBLICH, LCSW, LMFT, P.C.
Practice address
1950 Sheridan Rd
Suite 207
Highland Park, IL 60035-2548
Phone
(847) 432-6674
NPI assigned
Dec 18, 2008
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mrs. Anna Lieblich, LCSW, LMFTNPI 1487728838
Title
President
Phone
(847) 432-6674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149000445 IL Primary

Addresses

Primary practice location

1950 Sheridan Rd
Suite 207
Highland Park, IL 60035-2548

Mailing address

1950 Sheridan Rd.
Suite 207
Highland Park, IL 60035-1902
Phone (847) 432-6674

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1053557215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD.",
            "address_2": "SUITE 207",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351902",
            "telephone_number": "847-432-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SHERIDAN RD",
            "address_2": "SUITE 207",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352548",
            "telephone_number": "847-432-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA K. LIEBLICH, LCSW, LMFT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "LIEBLICH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-6674",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.