Individual provider Active NPI

Lanay Deniece Walls, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1710753835
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026493 Issued in IL
Practice address
1200 E 78TH St Apt 205
Chicago, IL 60619-3372
Phone
(773) 485-9597
Fax
(773) 359-4521
NPI assigned
Nov 29, 2023
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21114 IL
Mental Health Counselor 101YM0800X 149.026493 IL
Clinical Social Worker 1041C0700X 149.026493 IL Primary

Addresses

Primary practice location

1200 E 78TH St Apt 205
Chicago, IL 60619-3372

Mailing address

1200 E 78TH St Apt 205
Chicago, IL 60619-3372
Phone (312) 998-9098

Other names 1

  • Lanay Deniece Walls Other name

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
I20240221003461 IL Practitioner - Clinical Social Worker 7113361825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

14255 Cicero Ave
Crestwood, IL 60418-2154
Phone (708) 371-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21114ILMDAddiction (Substance Use Disorder) Counselor
149.026493ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Healthcare LLC CurrentSince Jul 8, 2024 Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

19000 Halsted St
Homewood, IL 60430
Phone (708) 957-5161

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1710753835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 78TH ST APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193372",
            "telephone_number": "312-998-9098",
            "fax_number": "773-359-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 78TH ST APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193372",
            "telephone_number": "773-485-9597",
            "fax_number": "773-359-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "LANAY",
        "middle_name": "DENIECE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "21114",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.026493",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANAY",
            "last_name": "WALLS",
            "middle_name": "DENIECE",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.