Individual provider Active NPI

Lisa Garcia, LCSW

  • Clinical Social Worker
  • Libertyville, IL
National Provider Identifier
1063168417
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024127 Issued in IL
Practice address
1860 W Winchester Rd Ste 205
Libertyville, IL 60048-5317
Phone
(223) 424-4194
Fax
(224) 424-4102
NPI assigned
Feb 24, 2022
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149024127 IL Primary

Addresses

Primary practice location

1860 W Winchester Rd Ste 205
Libertyville, IL 60048-5317

Mailing address

5213 Frederick CT
Apt D
Gurnee, IL 60031
Phone (773) 870-0261

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
I20231025003168 IL Practitioner - Clinical Social Worker 3577919661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricia Saviano Expressive Therapies PLLCGroup PAC ID 2860848942, 4 clinicians

Practice addresses (Care Compare)

2215 Lakeside Dr
Bannockburn, IL 60015-1265
Phone (224) 268-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149024127ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The McKnight Group LLC Clinical CurrentSince Feb 27, 2022 Accepting new patients
Tricia Saviano Expressive Therapies, PLLC Single Specialty CurrentSince Sep 13, 2023 Accepting new patients

Locations

2215 Lakeside Dr
Bannockburn, IL 60015
Phone (224) 268-0026

1585 N Milwaukee Ave
Ste 116
Libertyville, IL 60048
Phone (847) 242-2370

1860 W Winchester Rd
Ste 205
Libertyville, IL 60048
Phone (224) 424-4102

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1063168417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 FREDERICK CT",
            "address_2": "APT D",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "773-870-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD STE 205",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485317",
            "telephone_number": "223-424-4194",
            "fax_number": "224-424-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.