Lauren Muscolino, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021454 Issued in IL

Practice address

1100 Jorie Blvd Ste 132
Oak Brook, IL 60523-4402

Phone

(630) 522-3124

NPI assigned

Sep 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauren Muscolino Eldridge Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Anxiety Treatment Center - Western Suburbs, LLC

  • Clinical Psychologist
  • Oak Brook, IL
  • NPI 1821537358
  NPD (past)

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1790336758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E GRANTLEY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262444",
            "telephone_number": "773-450-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 132",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234402",
            "telephone_number": "630-522-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCOLINO",
        "first_name": "LAUREN",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149.021454",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ELDRIDGE",
            "middle_name": "MUSCOLINO",
            "credential": "LCSW, CADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mullapudi Medical LLC
• Mulso Associates Counseling, LTD
• Bryce Mulso
• Maurissa L Murakami, LPC
• Alicia Muran, DDS
• Shana Muslin, PH.D.
• Michelle Lauren Muszynski, OTR
• Mwalters Inc
• Lavinia L Myers, MD
• Mylife LLC

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.