Patricia Lallish LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016663 Issued in IL

Legal business name

PATRICIA LALLISH LCSW

Practice address

24 Trailridge LN
Glen Carbon, IL 62034-1834

Phone

(618) 780-5256

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Patricia L Lallish, LCSW

Title

Licensed Clinical Social Worker

Phone

(618) 780-5256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1083072227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 TRAILRIDGE LN",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341834",
            "telephone_number": "618-780-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TRAILRIDGE LN",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341834",
            "telephone_number": "618-780-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA LALLISH LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LALLISH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "618-780-5256",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Renee Owens, RBT
• Davide Pace
• Megan Leslie Pani
• Natalie J Parr
• Nicole Parrish
• Ashley Peck
• Brooke Ann Pellok Harris, LPC
• Timothy J Penn, MD
• Samantha Percich
• Zequielis M Perez Garcia

• Clinical Social Worker in Glen Carbon, IL
• Providers in Glen Carbon, 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 Feb 2, 2016; 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.