Nicole Czaja, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015611 Issued in IL

Practice address

1301 Pyott Rd Ste 103
Lake in the Hills, IL 60156-9795

Phone

(815) 893-9484

NPI assigned

May 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1295470532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CORK LN",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508045",
            "telephone_number": "847-942-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 103",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569795",
            "telephone_number": "815-893-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAJA",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carolyn Cotey, N.P.-C.
• Kevin Michael Cronin, M.D.
• Meghan Csech, LMT
• Martin Cuevas
• Regan Cunningham
• Marc Edward Czapla, D.D.S.
• Nichole Taylor Dabrowski, LPC
• Jennifer M Danowski, MOT
• Tyler Aaron Davila
• Heather Dawson, APN

• Clinical Social Worker in Lake in the Hills, IL
• Providers in Lake in the Hills, 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 May 2, 2022; 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.