Active NPI
Lisa a. Stanton, P.C.
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1386903565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149010854
- Legal business name
- LISA A. STANTON, P.C.
- Practice address
- 25 E Washington St
Suite 1602
Chicago, IL 60602-1708 - Phone
- (773) 320-5841
- NPI assigned
- May 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa A Stanton, LCSW, PC
- Title
- Psychotherapist
- Phone
- (773) 320-5841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149010854 | IL | Primary |
Addresses
Primary practice location
25 E Washington St
Suite 1602
Chicago, IL 60602-1708
Mailing address
25 E. Washington
Suite 1602
Chicago, IL 60602-1882
Phone (773) 320-5841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120626000287 | IL | Part B Supplier - Clinic/Group Practice | 3678738622 |
Receives reassigned benefits from 1 practitioner Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryLocations
2539 N Kedzie Blvd
Ste 4
Chicago, IL 60647
Phone (310) 776-0107
25 E Washington St
Ste 1602
Chicago, IL 60602
Phone (773) 320-5841
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1386903565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E. WASHINGTON",
"address_2": "SUITE 1602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021882",
"telephone_number": "773-320-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "SUITE 1602",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "773-320-5841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA A. STANTON, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "STANTON",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "773-320-5841",
"authorized_official_credential": "LCSW, PC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149010854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.