Individual provider Active NPI

Lynn Frances Lauber, BSW, MSW

  • Social Worker
  • Collinsville, IL
National Provider Identifier
1629336813
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.013411 Issued in IL
Practice address
2014 Vandalia St
Collinsville, IL 62234-4848
Phone
(618) 345-9536
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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 150.013411 IL Primary

Addresses

Primary practice location

2014 Vandalia St
Collinsville, IL 62234-4848

Mailing address

2014 Vandalia St
Collinsville, IL 62234-4848
Phone (618) 345-9536

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
I20211122001783 IL Practitioner - Clinical Social Worker 4385033893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Life Consultants IncGroup PAC ID 0840258752, 2 clinicians

Practice addresses (Care Compare)

2014 Vandalia St
Collinsville, IL 62234-4848
Phone (618) 345-9536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.013411ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Consultants, Inc CurrentSince Sep 29, 2021 Accepting new patients

Locations

2014 Vandalia St
Collinsville, IL 62234
Phone (618) 345-9536

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, 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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1629336813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 VANDALIA ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344848",
            "telephone_number": "618-345-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 VANDALIA ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344848",
            "telephone_number": "618-345-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBER",
        "first_name": "LYNN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "BSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.