Individual provider Active NPI

Laura Argentine, LCSW

  • Clinical Social Worker
  • Lake in the Hills, IL
National Provider Identifier
1619285095
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-006807 Issued in IL
Practice address
4 Baldwin CT
Lake in the Hills, IL 60156-6718
Phone
(847) 489-1434
NPI assigned
Sep 19, 2010
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 149-006807 IL Primary
School Social Worker 1041S0200X

Addresses

Primary practice location

4 Baldwin CT
Lake in the Hills, IL 60156-6718

Mailing address

5017 W Berteau Ave
Chicago, IL 60641-1738
Phone (847) 489-1434

Other practice location 1

415 E Congress Pkwy
Crystal Lake, IL 60014-6248
Phone (779) 220-5500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001880 IL Practitioner - Clinical Social Worker 6204159841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

415 E Congress Pkwy
Crystal Lake, IL 60014-6248
Phone (779) 220-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-006807ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Care Counseling, PLLC Clinical CurrentSince Jun 26, 2020 Accepting new patients
Rockford Health Physicians CurrentSince Jul 15, 2024 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

415 E Congress Pkwy
Crystal Lake, IL 60014
Phone (779) 220-5600

16 Lilac Ave
Fox Lake, IL 60020
Phone (847) 437-4663

3516 Waukegan Rd
McHenry, IL 60050
Phone (815) 271-5249

2300 N Rockton Ave
Rockford, IL 61103

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1619285095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 W BERTEAU AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411738",
            "telephone_number": "847-489-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BALDWIN CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566718",
            "telephone_number": "847-489-1434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146248",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARGENTINE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-006807",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.