Individual provider Active NPI

Stephen Lanterman, LCSW

  • Clinical Social Worker
  • Lansing, IL
National Provider Identifier
1235104647
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012394 Issued in IL
Practice address
2325 177TH St
Lansing, IL 60438-1722
Phone
(708) 895-7310
Fax
(708) 895-7602
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 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 149012394 IL Primary

Addresses

Primary practice location

2325 177TH St
Lansing, IL 60438-1722

Mailing address

2325 177TH St
Lansing, IL 60438-1722
Phone (708) 895-7310

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
I20190419000260 IL Practitioner - Clinical Social Worker 8224037700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Center for Mental Health IncGroup PAC ID 2365447232, 16 clinicians

Practice addresses (Care Compare)

3033 W Jefferson St
Suite 107
Joliet, IL 60435-5298
Phone (815) 773-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149012394ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Center for Mental Health Inc Clinical CurrentSince Mar 2, 2019 Accepting new patients
New Leaf Resources Past Accepting new patients

Locations

3033 W Jefferson St
Ste 107
Joliet, IL 60435
Phone (815) 773-0772

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1235104647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 177TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381722",
            "telephone_number": "708-895-7310",
            "fax_number": "708-895-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 177TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381722",
            "telephone_number": "708-895-7310",
            "fax_number": "708-895-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTERMAN",
        "first_name": "STEPHEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.