Individual provider Active NPI

Lisa Ungerleider, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1356752539
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149007089 Issued in IL
Practice address
3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424
Phone
(847) 400-0078
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 149007089 IL Primary

Addresses

Primary practice location

3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424

Mailing address

3000 Dundee Rd Ste 101
Northbrook, IL 60062-2424

Other practice location 1

1870 W Winchester Rd
Suite 203
Libertyville, IL 60048-5358
Phone (847) 816-7200

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1356752539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622424",
            "telephone_number": "847-400-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 W Winchester Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485358",
            "country_code": "US",
            "telephone_number": "847-816-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNGERLEIDER",
        "first_name": "LISA",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.