Laura La Porte, LCSW
Individual provider Active NPI Clinical Social Worker · Glencoe, IL
NPI 1801444906 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1801444906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.013233 (IL)
- Practice address
- 991 Edgebrook LN
Glencoe, IL 60022-1043 - Phone
- (773) 580-2869
- NPI assigned
- Sep 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 149.013233 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 149.013233 | IL | Yes |
Addresses
Primary practice location
991 Edgebrook LN
Glencoe, IL 60022-1043
Mailing address
991 Edgebrook LN
Glencoe, IL 60022-1043
Other providers in Glencoe, IL
- Jacqueline Kessler-Santiccioli
- Evelyn Siegel Klein
- Emily Turner Knight
- Judith Knight
- Sanford I Knight
- Lakefront Chiropractic
- Lakefront Chiropractic Center P.C.
- Lakeshore Dental, Inc.
- Victoria Louise Largin
- Victoria Lasser
All providers in Glencoe, 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 Feb 20, 2024. 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.