Individual provider Active NPI

Evan M Lerman, LCSW

  • Clinical Social Worker
  • Watseka, IL
National Provider Identifier
1346261534
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003995 Issued in IL
Practice address
323 W Mulberry St
Watseka, IL 60970-1568
Phone
(815) 432-5241
Fax
(815) 432-4537
NPI assigned
Jul 22, 2006
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 149003995 IL Primary

Addresses

Primary practice location

323 W Mulberry St
Watseka, IL 60970-1568

Mailing address

PO Box 322
Watseka, IL 60970-0322
Phone (815) 432-5241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iroquois Memorial Hospital and Resident Home Current Accepting new patients
Cognitive Care Counseling, PLLC Clinical Past Accepting new patients
Janelle Dimichele, LCSW & Associates, LLC Clinical PastSince Aug 24, 2014 Accepting new patients
Cairn Counseling PastSince Apr 13, 2025 Accepting new patients

Locations

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Organizations & group practices 4

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1346261534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609700322",
            "telephone_number": "815-432-5241",
            "fax_number": "815-432-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W MULBERRY ST",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701568",
            "telephone_number": "815-432-5241",
            "fax_number": "815-432-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMAN",
        "first_name": "EVAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watseka, IL

Sources for this page

Verify at the official NPI Registry.