Active NPI
Lisa Anne Schwab
- Clinical Social Worker
- Oak Park, IL
National Provider Identifier
1386854313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1142 Chicago Ave
Suite 2 West
Oak Park, IL 60302-1837 - Phone
- (708) 848-3635
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
1142 Chicago Ave
Suite 2 West
Oak Park, IL 60302-1837
Mailing address
654 S Park Blvd
Glen Ellyn, IL 60137-6918
Phone (773) 497-2789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636475 | Other | IL | BCBSIL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149010715 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386854313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 S PARK BLVD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376918",
"telephone_number": "773-497-2789",
"fax_number": "630-942-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1142 CHICAGO AVE",
"address_2": "SUITE 2 WEST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021837",
"telephone_number": "708-848-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAB",
"first_name": "LISA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "01636475",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.