Barbara Mary Lemke Hagstrom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003037 Issued in IL

Practice address

21 N Skokie Hwy
Suite 203
Lake Bluff, IL 60044-1777

Phone

(847) 604-8330

NPI assigned

Jul 19, 2008

Sex

Female

Sole proprietor

Yes

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": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216425600000",
    "number": "1225293210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600440203",
            "telephone_number": "847-604-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N SKOKIE HWY",
            "address_2": "SUITE 203",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441777",
            "telephone_number": "847-604-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE HAGSTROM",
        "first_name": "BARBARA",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2008-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Forest Pediatric Associates, LTD
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• John Jonghwan Lee, DDS
• William Wah Hing Lee, ED.D.
• Katherine A Letourneau, JC, LCSW
• Michael Levi, MD
• Stephanie Lichter, LPC, NCC
• Lifetree Home Health Inc.
• Nikolus Lima

• Clinical Social Worker in Lake Bluff, IL
• Providers in Lake Bluff, 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 19, 2008; 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.