Lisa Marie Baskfield, LMFT

Individual provider Active NPI Marriage & Family Therapist · Winnetka, IL

NPI 1073175253 · NPPES record last updated Jul 8, 2019

Key facts

NPI
1073175253
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
166.001293 (IL)
Practice address
460 Winnetka Ave
Winnetka, IL 60093-4206
Phone
(847) 630-5238
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
166.001293ILMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.001293 IL Yes

Addresses

Primary practice location

460 Winnetka Ave
Winnetka, IL 60093-4206

Mailing address

488 Ash St
Winnetka, IL 60093-2604
Phone (847) 630-5238

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Winnetka

Other providers in Winnetka, IL

All providers in Winnetka, IL · Marriage & Family Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.