Laurie Walsh, MSW, LCSW, MSOM, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008770 Issued in IL

Practice address

30 N Michigan Ave
Suite 918
Chicago, IL 60602-3402

Phone

(312) 933-5510

NPI assigned

Sep 5, 2007

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1285828921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023762",
            "telephone_number": "312-933-5510",
            "fax_number": "312-372-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-933-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684044",
            "country_code": "US",
            "telephone_number": "312-933-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LAURIE",
        "credential": "MSW, LCSW, MSOM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008770",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Whittaker Walsh, RN, APN, CNP
• Kathleen M Walsh, M.A.,L.C.S.W., B.C.D
• Kathleen M Walsh
• Kelsey Elizabeth Walsh, OTR
• Kristin Walsh
• Lena Walsh
• Leslie Walsh, LCSW
• Linda J Walsh
• Macey R Walsh
• Madeleine Kathleen Walsh

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Apr 28, 2020; 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.