Lichen Psychotherapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LICHEN PSYCHOTHERAPY SERVICES PLLC

Practice address

3323 W Diversey Ave Ste 7
Chicago, IL 60647-8582

Phone

(847) 220-4947

NPI assigned

Aug 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hope Elizabeth Williams, LCSWNPI 1457702094

Title

Owner/Manager

Phone

(847) 220-4947

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hope Elizabeth Williams, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1457702094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1386478402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 W DIVERSEY AVE STE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478582",
            "telephone_number": "847-220-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 W DIVERSEY AVE STE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478582",
            "telephone_number": "847-220-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICHEN PSYCHOTHERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "847-220-4947",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Alexander Librojo, RD
• Solomon A Liburd, D.C.
• Laura Licari, PHARMD
• Lice-Free Family LLC
• Laura A Licea, LCSW
• Danielle Lichman, PSYD
• Gilbert Lichstein
• Sherry Gail Licht, M.D.
• Steven Licht, DMD
• Roger A. Lichtenbaum, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.