Active NPI
Lisa Michelle Haglund, LCSW
- Clinical Social Worker
- Flossmoor, IL
National Provider Identifier
1811248909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015160
- Practice address
- 3235 Vollmer Rd
Suite 137
Flossmoor, IL 60422-2013 - Phone
- (708) 206-1300
- Fax
- (708) 206-1399
- NPI assigned
- Sep 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015160 | IL | Primary |
Addresses
Primary practice location
3235 Vollmer Rd
Suite 137
Flossmoor, IL 60422-2013
Mailing address
8125 167TH PL
Tinley Park, IL 60477-2330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149015160 | Other | IL | STATE OF ILLINOIS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015160 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1811248909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8125 167TH PL",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 137",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-206-1300",
"fax_number": "708-206-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLUND",
"first_name": "LISA",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS LICENSE",
"identifier": "149015160",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.