Individual provider Active NPI

Lauren Marasco

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1295515039
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025906 Issued in IL
Practice address
64 Main St
Oswego, IL 60543-9893
Phone
(630) 519-1010
Fax
(630) 405-7209
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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 149025906 IL Primary

Addresses

Primary practice location

64 Main St
Oswego, IL 60543-9893

Mailing address

64 Main St
Oswego, IL 60543-9893
Phone (630) 519-1010

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
I20231030000930 IL Practitioner - Clinical Social Worker 7719333608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 Main St
Suite 301
Oswego, IL 60543-1264
Phone (630) 205-4743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149025906ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advocating Wellness PLLC Clinical CurrentSince Sep 27, 2024 Accepting new patients
Oswego Wellness, Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

64 Main St
Oswego, IL 60543
Phone (630) 519-1010

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1295515039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439893",
            "telephone_number": "630-519-1010",
            "fax_number": "630-405-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAIN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439893",
            "telephone_number": "630-519-1010",
            "fax_number": "630-405-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASCO",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.