Individual provider Active NPI

Lauren M Williams, LCSW

  • Clinical Social Worker
  • Romeoville, IL
National Provider Identifier
1336862382
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-002131 Issued in IL
Practice address
30 Phelps Ave
Romeoville, IL 60446-1335
Phone
(630) 755-0053
Fax
(630) 755-0054
NPI assigned
Sep 23, 2022
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 149-002131 IL Primary

Addresses

Primary practice location

30 Phelps Ave
Romeoville, IL 60446-1335

Mailing address

30 Phelps Ave
Romeoville, IL 60446-1335
Phone (630) 755-0053

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
I20250418000996 IL Practitioner - Clinical Social Worker 8820513179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-002131ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Individual Advocacy Group, Inc. CurrentSince Mar 3, 2025 Accepting new patients

Locations

1289 Windham Pkwy
Romeoville, IL 60446
Phone (630) 759-0201

30 Phelps Ave
Romeoville, IL 60446
Phone (630) 755-0053

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1336862382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PHELPS AVE",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461335",
            "telephone_number": "630-755-0053",
            "fax_number": "630-755-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PHELPS AVE",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461335",
            "telephone_number": "630-755-0053",
            "fax_number": "630-755-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAUREN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-002131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.