Lauren Elizabeth Widaman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.031023 Issued in IL

Practice address

639 W Grace St Apt 432
Chicago, IL 60613-4039

Phone

(859) 825-8076

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ifc Premier, Professional Limited Liability Company

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1528939022
  NPD
• Individual and Family Connection, LLC

  • Counselor
  • Chicago, IL
  • NPI 1871857615

  Social Worker

  NPD

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1083325534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W GRACE ST APT 432",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W GRACE ST APT 432",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134039",
            "telephone_number": "859-825-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDAMAN",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.031023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Wicks, M.D.
• Nicole Wicks, MA, LPC
• Sheila Michelle Wicks, BSC MS MB,MBA,LAC
• Jancey Lee Wickstrom, MA, LCSW
• Elizabeth Kilner Wickware, O.D.
• Thomas A Widell, M.D.
• Ronald Roger Widen, DDS
• Shanna Marie Widera, RN, APN
• Abbie Claire Widing, RD
• Kristen Widing, LSW

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jul 24, 2026; 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.