Individual provider Active NPI

Lindsey Rose Choklad, MSW, CADC

  • Social Worker
  • Crystal Lake, IL
National Provider Identifier
1114636313
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.109842 Issued in IL
Practice address
422 Tracy CT
Crystal Lake, IL 60014-6288
Phone
(888) 928-5278
NPI assigned
Nov 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.109842 IL Primary

Addresses

Primary practice location

422 Tracy CT
Crystal Lake, IL 60014-6288

Mailing address

1252 Westport RDG
Crystal Lake, IL 60014-8991
Phone (815) 404-8493

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.109842ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lantern Therapy Services, LTD PastSince Nov 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1114636313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 WESTPORT RDG",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148991",
            "telephone_number": "815-404-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 TRACY CT",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146288",
            "telephone_number": "888-928-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKLAD",
        "first_name": "LINDSEY",
        "middle_name": "ROSE",
        "credential": "MSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.109842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.