Lynn K Skubiszewski, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

149008951 Issued in IL

Practice address

405 Lake Zurich Rd
Barrington, IL 60010-3141

Phone

(847) 381-5599

Fax

(847) 381-8042

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lynn K Zaczek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1245517317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "847-381-5599",
            "fax_number": "847-381-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "847-381-5599",
            "fax_number": "847-381-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBISZEWSKI",
        "first_name": "LYNN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149008951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12376494",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "ZACZEK",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Barrington, IL
• Providers in Barrington, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.