Individual provider Active NPI

Lori Anne Sims, LCSW,CADC

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1154575660
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013290 Issued in IL
Practice address
68 Main St
Oswego, IL 60543-9861
Phone
(630) 698-0390
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.013290 IL Primary

Addresses

Primary practice location

68 Main St
Oswego, IL 60543-9861

Mailing address

PO Box 864
Oswego, IL 60543-0864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102003019 IL Practitioner - Clinical Social Worker 5799020244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.013290ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Thresholds CurrentSince Sep 30, 2025 Accepting new patients

Locations

734 W 47th St
Chicago, IL 60609
Phone (773) 536-8400

4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434

Organizations & group practices 2

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1154575660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605430864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 MAIN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439861",
            "telephone_number": "630-698-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "credential": "LCSW,CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.