Active NPI
Lauren Oldson
- Clinical Social Worker
- Chicago Height, IL
National Provider Identifier
1396879698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 450 W 14TH Street
Chicago Height, IL 60411 - Phone
- (708) 503-9670
- NPI assigned
- Mar 16, 2007
- Last updated
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | ||
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
450 W 14TH Street
Chicago Height, IL 60411
Mailing address
450 W 14TH Street
Chicago Height, IL 60411
Phone (708) 503-9670
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149005392 | IL | MD | Social Worker |
| 149-005392 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1396879698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W 14TH STREET",
"city": "CHICAGO HEIGHT",
"state": "IL",
"postal_code": "60411",
"telephone_number": "708-503-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W 14TH STREET",
"city": "CHICAGO HEIGHT",
"state": "IL",
"postal_code": "60411",
"telephone_number": "708-503-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDSON",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.