Amanda Kaitlyn Labash, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014559 Issued in IL

Practice address

16410 Frontage Rd
Oak Forest, IL 60452

Phone

(708) 960-4023

NPI assigned

Aug 28, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Lifecore Rehab and Counseling Services SC

  • Mental Health Counselor
  • Orland Park, IL
  • NPI 1679819734
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1487902185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W728 BUTTERFIELD RD",
            "address_2": "#113",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 FRONTAGE RD",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "60452",
            "telephone_number": "708-960-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABASH",
        "first_name": "AMANDA",
        "middle_name": "KAITLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER MASTERS LICENSE",
            "identifier": "149014559",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Stanley Kuchay, RPH
• Nancy J. Kukulka
• Admasu Kumssa, MD
• Daniel Kunz, ATC
• Kristen Kwasny
• Zaia Ishaq Lachin, MD
• Mary T Lake, SLP
• Barbara Lynn Lange, DPM
• Harrison Leibow
• Mary Rene Leonhardt

• Clinical Social Worker in Oak Forest, IL
• Providers in Oak Forest, 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 28, 2012; 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.