Individual provider Active NPI

Sarah Lusche, LSW

  • Social Worker
  • Oak Park, IL
National Provider Identifier
1609415777
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.104110 Issued in IL
Practice address
137 N Oak Park Ave Ste 400
Oak Park, IL 60301-1344
Phone
(708) 386-8800
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.104110 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave Ste 400
Oak Park, IL 60301-1344

Mailing address

839 W Belle Plaine Ave Apt 2E
Chicago, IL 60613-7376
Phone (334) 329-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 24, 2024 through Apr 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.104110ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1609415777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W BELLE PLAINE AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606137376",
            "telephone_number": "334-329-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 400",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-386-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCHE",
        "first_name": "SARAH",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.