Individual provider Active NPI

Lisa Ann Valiente, LCSW

  • Clinical Social Worker
  • Bolingbrook, IL
National Provider Identifier
1740781889
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019858 Issued in IL
Practice address
237 Picardy LN
Bolingbrook, IL 60440-4531
Phone
(630) 748-9910
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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 149.019858 IL Primary

Addresses

Primary practice location

237 Picardy LN
Bolingbrook, IL 60440-4531

Mailing address

237 Picardy LN
Bolingbrook, IL 60440-4531
Phone (630) 748-9910

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
I20180326001520 IL Practitioner - Clinical Social Worker 2567724818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians
Nexumhc Consultants, PLLCGroup PAC ID 5698134005, 13 clinicians

Practice addresses (Care Compare)

486 W Boughton Rd
Suite B
Bolingbrook, IL 60440-2399
Phone (630) 566-2090

7373 N Lincoln Ave
Lincolnwood, IL 60712-1704
Phone (773) 945-1994

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
80.64
Improvement activities
40
Cost
74.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019858ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nexumhc Consultants, PLLC Clinical CurrentSince Jul 26, 2023 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince Jun 17, 2024 Accepting new patients

Locations

486 W Boughton Rd
Ste B
Bolingbrook, IL 60440
Phone (630) 566-2090

7373 N Lincoln Ave
Ste 400
Lincolnwood, IL 60712
Phone (219) 805-3593

7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: lisa.valiente.1@25899.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1740781889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 PICARDY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404531",
            "telephone_number": "630-748-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 PICARDY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404531",
            "telephone_number": "630-748-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.