Active NPI
Lily Rose Andrea
- Social Worker
- Naperville, IL
National Provider Identifier
1558087627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.114153
- Practice address
- 959 W Ogden Ave
Naperville, IL 60563-2911 - Phone
- (331) 801-2988
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114153 | IL | Primary |
| Behavior Technician | 106S00000X | RBT-22-236330 | IL |
Addresses
Primary practice location
959 W Ogden Ave
Naperville, IL 60563-2911
Mailing address
4946 Douglas Rd Apt 301
Downers Grove, IL 60515-3878
Phone (630) 841-7554
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 |
|---|---|---|---|
| 150.114153 | IL | MD | Social Worker |
| RBT-22-236330 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1558087627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4946 DOUGLAS RD APT 301",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153878",
"telephone_number": "630-841-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 W OGDEN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632911",
"telephone_number": "331-801-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREA",
"first_name": "LILY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.114153",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-22-236330",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.