Organization Active NPI

Lauren Raphael LCSW LLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1417418617
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAUREN RAPHAEL LCSW LLC
Practice address
707 Skokie Blvd Ste 622
Northbrook, IL 60062-2857
Phone
(312) 953-1471
NPI assigned
Mar 29, 2019
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Lauren Raphael
Title
LCSW/Owner
Phone
(312) 953-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

707 Skokie Blvd Ste 622
Northbrook, IL 60062-2857

Mailing address

622 Dunsten Cir
Northbrook, IL 60062-2613
Phone (312) 953-1471

National Provider Directory

National Provider Directory

Locations

707 Skokie Blvd
Ste 622
Northbrook, IL 60062
Phone (312) 953-1471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1417418617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 DUNSTEN CIR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622613",
            "telephone_number": "312-953-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SKOKIE BLVD STE 622",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622857",
            "telephone_number": "312-953-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN RAPHAEL LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "312-953-1471"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.