Colleen M Lindberg, LCSW, TYPE 73 CERT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010386 Issued in IL

Practice address

1315 Butterfield Rd
Downers Grove, IL 60515-5602

Phone

(630) 460-3033

Fax

(630) 968-7213

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1477784163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BUTTERFIELD RD",
            "address_2": "SUITE 220",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155602",
            "telephone_number": "630-460-3033",
            "fax_number": "630-968-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 BUTTERFIELD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155602",
            "telephone_number": "630-460-3033",
            "fax_number": "630-968-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW, TYPE 73 CERT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010386",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1663932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL PPO",
            "identifier": "800464003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fang-Ling Lin-Millman, M.S., OTL
• Lillian Grace Lin, PA
• Vincent I-Sun Lin, D.D.S.
• April G Linares, BCBA
• Linda D. Small, PH.D and Associates
• Lisa Lindt, M.S. ED.
• Stefanie L Linke, FNP-C
• Lionrock Behavioral Health, Inc
• Daniel B Lippmann, LCSW
• Livia De Souza Lisboa, MS, PA-C

• Clinical Social Worker in Downers Grove, IL
• Providers in Downers Grove, 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 Jan 22, 2010; 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.