Kaori Miyazawa Liebler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012957 Issued in IL

Practice address

4427 N Clark St
Chicago, IL 60640-5403

Phone

(773) 275-7212

Fax

(773) 275-0958

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Japanese American Service Committee

  • Adult Day Care Clinic/Center
  • Chicago, IL
  • NPI 1679628143
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1851550396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405403",
            "telephone_number": "773-275-7212",
            "fax_number": "773-275-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405403",
            "telephone_number": "773-275-7212",
            "fax_number": "773-275-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBLER",
        "first_name": "KAORI",
        "middle_name": "MIYAZAWA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Ava Lieberman
• Lieberson Psychotherapy PLLC
• Kristin E Liebl, DPT
• Stephanie Liebl
• Gene Kevin Liebler, LCSW
• Erin Liebman, LCPC
• David Liebovitz, MD
• Philip Liebson, M.D.
• Megan Lied, PA-C
• Charles Marshall Lieder, D.O.

• 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 9, 2008; 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.