Individual provider Active NPI

Laurie Maria Rades, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1578028783
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009351 Issued in IL
Practice address
5756 N Ridge Ave Ste 9
Chicago, IL 60660-5332
Phone
(773) 417-5976
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009351 IL Primary

Addresses

Primary practice location

5756 N Ridge Ave Ste 9
Chicago, IL 60660-5332

Mailing address

3117 N Paulina St Apt 3
Chicago, IL 60657-6780
Phone (773) 844-8456

Other names 1

  • Laurie Maria Hanson Professional name

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

LicenseStateTypeSpecialty
149009351ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie M Hanson LCSW, LLC Past Accepting new patients

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1578028783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 N PAULINA ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576780",
            "telephone_number": "773-844-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 9",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605332",
            "telephone_number": "773-417-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADES",
        "first_name": "LAURIE",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "HANSON",
            "middle_name": "MARIA",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 1, 2019; 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.