Active NPI
Marina Lisjonok, LCSW
- Social Worker
- Glen Ellyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 45 S Park Blvd Ste 200
Glen Ellyn, IL 60137-6282 - Phone
- (630) 423-5935
- NPI assigned
- Jul 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
45 S Park Blvd Ste 200
Glen Ellyn, IL 60137-6282
Mailing address
800 Roosevelt Rd Ste C206
Glen Ellyn, IL 60137-5851
Phone (630) 423-5935
Other practice location 1
800 Roosevelt Rd Ste C206
Glen Ellyn, IL 60137-5851
Phone (630) 423-5935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Roosevelt Rd
Suite C206
Glen Ellyn, IL 60137-5851
Phone (630) 423-5935
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Care Wellness, Inc. | Social Worker | Current | Accepting new patients |
Locations
800 Roosevelt Rd
Ste C206
Glen Ellyn, IL 60137
Phone (630) 423-5935
45 S Park Blvd
Ste 200
Glen Ellyn, IL 60137
Phone (630) 423-5935
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1497373872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD STE C206",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375851",
"telephone_number": "630-423-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S PARK BLVD STE 200",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376282",
"telephone_number": "630-423-5935"
}
],
"practiceLocations": [
{
"address_1": "800 Roosevelt Rd Ste C206",
"address_purpose": "LOCATION",
"city": "Glen Ellyn",
"state": "IL",
"postal_code": "601375851",
"country_code": "US",
"telephone_number": "630-423-5935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISJONOK",
"first_name": "MARINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.