Individual provider Active NPI

Stephanie Lerner-Ernsteen, LCSW

  • Clinical Social Worker
  • Mundelein, IL
National Provider Identifier
1225739774
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-004997 Issued in IL
Practice address
39 E Hawley St
Mundelein, IL 60060-2324
Phone
(847) 489-7282
Fax
(847) 566-0182
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 149-004997 IL Primary

Addresses

Primary practice location

39 E Hawley St
Mundelein, IL 60060-2324

Mailing address

39 E Hawley St
Mundelein, IL 60060-2324
Phone (847) 489-7282

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
149-004997ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1225739774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E HAWLEY ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602324",
            "telephone_number": "847-489-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E HAWLEY ST",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602324",
            "telephone_number": "847-489-7282",
            "fax_number": "847-566-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER-ERNSTEEN",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-004997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.