Organization Active NPI

Lindsey Perper Davanzo LCSW

  • Clinical Social Worker
  • Buffalo Grove, IL
National Provider Identifier
1235478314
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010917 Issued in IL
Legal business name
LINDSEY PERPER DAVANZO LCSW
Practice address
1110 W Lake Cook Rd
Suite 375
Buffalo Grove, IL 60089-1944
Phone
(847) 208-4705
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Lindsey Perper Davanzo, LCSW
Title
Owner
Phone
(847) 208-4705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.010917 IL Primary

Addresses

Primary practice location

1110 W Lake Cook Rd
Suite 375
Buffalo Grove, IL 60089-1944

Mailing address

1097 Queen Ann LN
Suite a
Lake Zurich, IL 60047-7949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1235478314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 QUEEN ANN LN",
            "address_2": "SUITE A",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600477949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LAKE COOK RD",
            "address_2": "SUITE 375",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891944",
            "telephone_number": "847-208-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY PERPER DAVANZO LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "DAVANZO",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "PERPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-208-4705",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.