Lisa Marie Sporer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020516 Issued in IL

Practice address

500 W Central Rd Ste 206
Mount Prospect, IL 60056-2381

Phone

(800) 922-0976

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Suburban Counseling LLC

  • Marriage & Family Therapist
  • Arlington Heights, IL
  • NPI 1336535764

  Clinical

  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1396223244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 QUINCY CT APT C",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601088208",
            "telephone_number": "630-244-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD STE 206",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562381",
            "telephone_number": "800-922-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sous, LAC
• Specialty Medical Services
• Dennis J Spinazze, DDS
• Mark Angelo Spinazze, DDS
• Russell P Spinazze, DDS
• Sports Medical Services, S.C.
• Stephen M Sproul, MD
• Stanvee Corp
• Stay Fit Physical Therapy, Inc
• Y. Jessica Steele, PA-C

• Clinical Social Worker in Mount Prospect, IL
• Providers in Mount Prospect, 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 Aug 2, 2018; 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.