Individual provider Active NPI

Anna Marcolin Houser, LCSW

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1295923316
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1866 Sheridan Rd
Suite 320
Highland Park, IL 60035-2547
Phone
(847) 691-0400
Fax
(847) 432-5389
NPI assigned
Oct 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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 IL Primary

Addresses

Primary practice location

1866 Sheridan Rd
Suite 320
Highland Park, IL 60035-2547

Mailing address

1866 Sheridan Rd
Suite 320
Highland Park, IL 60035-2547
Phone (847) 691-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149-006896ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Center for Clinical Services, LTD Past Accepting new patients

Organizations & group practices 1

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1295923316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "SUITE 320",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352547",
            "telephone_number": "847-691-0400",
            "fax_number": "847-432-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD",
            "address_2": "SUITE 320",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352547",
            "telephone_number": "847-691-0400",
            "fax_number": "847-432-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOLIN HOUSER",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.