Lauren Mae Niederkorn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020085 Issued in IL

Practice address

2334 W Lawrence Ave Ste 204
Chicago, IL 60625-1045

Phone

(847) 920-6094

NPI assigned

Aug 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1841715620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 MANGO AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532539",
            "telephone_number": "773-559-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251045",
            "telephone_number": "847-920-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERKORN",
        "first_name": "LAUREN",
        "middle_name": "MAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020085",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia-Marie Nicosia, MA, LPC
• Nida a. Marouf, D.M.D., LTD.
• Daisy Nie, MD
• Jacob M Nieb, MD
• Craig S. Niederberger, M.D.
• Leo G. Niederman, M.D.
• Alfonse Niedermeyer
• Robert Martin Niedermeyer, D.O.
• Tomasz Niedziela
• Timothy Niehaus, CNIM

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jun 23, 2020; 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.