Individual provider Active NPI

Lorraine Weber, LCSW

  • Clinical Social Worker
  • Lake Villa, IL
National Provider Identifier
1720500689
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000895 Issued in IL
Practice address
23346 W Liberty Ave
Lake Villa, IL 60046-8763
Phone
(847) 903-5604
NPI assigned
Jul 12, 2017
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 149000895 IL Primary

Addresses

Primary practice location

23346 W Liberty Ave
Lake Villa, IL 60046-8763

Mailing address

23346 W Liberty Ave
Lake Villa, IL 60046-8763

Other identifiers 1

IdentifierTypeStateIssuer
149000895OtherILLICENSE

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
I20170823003260 IL Practitioner - Clinical Social Worker 2163794280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahp Specialty Care NFPGroup PAC ID 9931491107, 32 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-5900

396 Remington Blvd
Bolingbrook, IL 60440-4311

630 E N Ave
Carol Stream, IL 60188-2127
Phone (630) 458-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149000895ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc CurrentSince Jan 8, 2024 Accepting new patients
Adventist Health Partners,Inc Single Specialty CurrentSince Jan 8, 2024 Accepting new patients
Journeycare, Inc Single Specialty Current Accepting new patients
Ahp Specialty Care NFP Single Specialty CurrentSince Jun 25, 2024 Accepting new patients
Journeycare, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Adventist Health Partners, Inc. Single Specialty Current Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

200 Martin Ave
Naperville, IL 60540
Phone (630) 355-4111

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

Interoperability endpoints

  • Direct secure messaging: lorraine.weber.1@380.direct.athenahealth.com

Organizations & group practices 6

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1720500689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23346 W LIBERTY AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23346 W LIBERTY AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468763",
            "telephone_number": "847-903-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LORRAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "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": "149000895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "149000895",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

Verify at the official NPI Registry.