Joseph David Stahler, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.112099 Issued in IL

Practice address

1 E Lakewood Ave
Northlake, IL 60164-2592

Phone

(708) 397-4697

Fax

(708) 397-4683

NPI assigned

Nov 7, 2023

Sex

Male

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

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1093589459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROSE LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031562",
            "telephone_number": "630-648-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E LAKEWOOD AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642592",
            "telephone_number": "708-397-4697",
            "fax_number": "708-397-4683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 S Finley Rd",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601483875",
            "country_code": "US",
            "telephone_number": "331-307-7478",
            "fax_number": "630-613-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 S Villa Ave",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "IL",
            "postal_code": "601812650",
            "country_code": "US",
            "telephone_number": "630-279-0743",
            "fax_number": "630-279-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHLER",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.112099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cora Saucillo, COTA/L
• Smiles of Northlake Corp
• Constance Marie Snyder, B.S., D.T.
• Cesar Andres Sosa
• Dianna Emma Spina
• Jennifer Strzelczyk, MHS, CCC/SLP
• Juwairiya Syed, DMD
• Denice Sykes
• Kyle Tanzillo, MOT, OTR/L
• Shakuntala S Teas

• Social Worker in Northlake, IL
• Providers in Northlake, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.