Individual provider Active NPI

Laura Hollingsworth Anderson, LLC, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1689915035
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015457 Issued in IL
Practice address
137 N Oak Park Ave Ste 242
Oak Park, IL 60301-1390
Phone
(312) 728-3078
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 149.015457 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave Ste 242
Oak Park, IL 60301-1390

Mailing address

137 N Oak Park Ave Ste 242
Oak Park, IL 60301-1390
Phone (402) 699-3472

Other identifiers 1

IdentifierTypeStateIssuer
1568959187OtherILTYPE 2 NPI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.015457ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Anderson, LLC Current Accepting new patients

Locations

2000 N Racine Ave
Ste 2130
Chicago, IL 60614
Phone (402) 289-8262

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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1689915035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 242",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011390",
            "telephone_number": "402-699-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 242",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011390",
            "telephone_number": "312-728-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON, LLC",
        "first_name": "LAURA",
        "middle_name": "HOLLINGSWORTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1568959187",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.