Active NPI
Lisa Ungerleider LCSW LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northbrook, IL
National Provider Identifier
1154894442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LISA UNGERLEIDER LCSW LLC
- Practice address
- 3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424 - Phone
- (847) 400-0078
- NPI assigned
- Jan 9, 2019
- Last updated
- Jan 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Ungerleider
- Title
- Licensed Clinical Social Worker
- Phone
- (847) 529-7599
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424
Mailing address
3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Northbrook, IL
- NPI 1356752539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578355200000",
"number": "1154894442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 DUNDEE RD STE 101",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 DUNDEE RD STE 101",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622424",
"telephone_number": "847-400-0078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA UNGERLEIDER LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-09",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A",
"authorized_official_last_name": "UNGERLEIDER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "847-529-7599"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.