Peter Douglas Lamotte, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-006445 Issued in IL

Practice address

636 S Yates Ave
Kankakee, IL 60901-3152

Phone

(815) 830-9055

NPI assigned

Apr 29, 2022

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1841935277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S YATES AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013152",
            "telephone_number": "815-830-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 S YATES AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013152",
            "telephone_number": "815-830-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTE",
        "first_name": "PETER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-006445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Home",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "636 S Yates Ave",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609013152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce Alan Lacoste, D.D.S.
• William Lacy Jr.
• Jamie Lynn Lambert
• Joanna L. Lambert, FNP-BC
• Sara Lambert, SLP
• Brenda L. Lamping, FNP-BC
• Soren David Lang, M. D.
• Raffi K Leblebijian, DDS
• Katherine Marie Leclear, APRN
• Catherine Ann Ledesma

• Clinical Social Worker in Kankakee, IL
• Providers in Kankakee, 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 Apr 29, 2022; 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.