Lauren Farina, LCSW
Individual provider Active NPI Clinical Social Worker · Elmwood Park, IL
NPI 1699009365 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1699009365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149013616 (IL)
- Practice address
- 2200 N 77TH CT
Address 2
Elmwood Park, IL 60707-3018 - Phone
- (708) 471-0091
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149013616 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149013616 | IL | Yes |
Addresses
Primary practice location
2200 N 77TH CT
Address 2
Elmwood Park, IL 60707-3018
Mailing address
7243 Madison St
#220
Forest Park, IL 60130-3726
Other providers in Elmwood Park, IL
- Elmwood Park Vascular Center LLC
- Emotional Intelligence Inc.
- Karen Anita Ennis
- Esperanza Home Health Care, Inc.
- Francesco Ettorre
- Paul Farina
- Jessica Jeanette Fernandez
- Christopher David Frame
- Christine Anne Frank-Melnyk
- Lauren Gallagher
All providers in Elmwood Park, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.