Active NPI
Lukasz Obrochta, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1437604568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.018610
- Practice address
- 4121 W Lake St
Chicago, IL 60624-1719 - Phone
- (312) 405-3557
- Fax
- (773) 826-2109
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 149.018610 | IL | Primary |
Addresses
Primary practice location
4121 W Lake St
Chicago, IL 60624-1719
Mailing address
116 Mullingar CT
1B
Schaumburg, IL 60193-5614
Phone (847) 401-9564
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 |
|---|---|---|---|
| 149.018610 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1437604568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 MULLINGAR CT",
"address_2": "1B",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601935614",
"telephone_number": "847-401-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 W LAKE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606241719",
"telephone_number": "312-405-3557",
"fax_number": "773-826-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBROCHTA",
"first_name": "LUKASZ",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.018610",
"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 Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.