Lisa M Pertile, LCSW
Individual provider Active NPI Clinical Social Worker · Worth, IL
NPI 1366485641 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1366485641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149009385 (IL)
- Practice address
- 111S1 S New England
Worth Junior High
Worth, IL 60482 - Phone
- (708) 448-2803
- Fax
- (708) 448-6155
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149009385 | IL | Yes |
Addresses
Primary practice location
111S1 S New England
Worth Junior High
Worth, IL 60482
Mailing address
5327 Fair Elms
Western Springs, IL 60558
Other providers in Worth, IL
- Bernard Owen O'Brien
- Octavio M. Lopez MD SC
- Abena Owusu-Ansah
- Bobbie Pearson
- Courtney Allison Pechos
- Deborah A Price-Brooks
- Jasmin Raheem
- Michelle Ramos
- Recovery Medical Equipment Inc
- Patricia Reed
All providers in Worth, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.