Lifeskills Center, LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011526 Issued in IL

Legal business name

LIFESKILLS CENTER, LTD

Practice address

479 North Ave
Antioch, IL 60002-1323

Phone

(224) 577-5022

Fax

(847) 395-9551

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan A White, LCSWNPI 1508919812

Title

Owner

Phone

(224) 577-5022

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan A White, LCSW

  • Clinical Social Worker
  • Antioch, IL
  • NPI 1508919812
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1063623940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 NORTH AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021323",
            "telephone_number": "224-577-5022",
            "fax_number": "847-395-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 NORTH AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021323",
            "telephone_number": "224-577-5022",
            "fax_number": "847-395-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-577-5022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11722321",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1508919812",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake County Immediate Care, LLC
• Stephanie Landazzi, LSW
• Susan Marie Lee
• Michael J Leitza, PT
• Bonnie Lewis
• Gail Lindstrom, M.A., CCC-SLP
• Lisa M. Berg, LCSW and Associates, LLC
• Karen Lee Lobodzinski, CCC-SLP/L
• Terry Loe, LMT, CMT
• Sheila Marie Loos, LMT

• Clinical Social Worker in Antioch, IL
• Providers in Antioch, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.