Mary Lentine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-000819 Issued in IL

Practice address

4 Potawatomie TRL Apt 2
Indian Head Park, IL 60525-9069

Phone

(214) 251-9935

NPI assigned

Mar 13, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Loyola University of Chicago, Stritch School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960

  Clinical

  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1871626317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 POTAWATOMIE TRL APT 2",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605259069",
            "telephone_number": "214-251-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 POTAWATOMIE TRL APT 2",
            "city": "INDIAN HEAD PARK",
            "state": "IL",
            "postal_code": "605259069",
            "telephone_number": "214-251-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 OLD GLENVIEW RD",
            "address_2": "STE 15",
            "address_purpose": "LOCATION",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "country_code": "US",
            "telephone_number": "224-251-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTINE",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-000819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149-000819",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiberiu Fulop, LAC
• Judith H Green, LCPC
• Spyridon Hasiakos, DMD
• Trudi Marie Kessler, PSYD
• Andrea Kovalsky
• Jessica Christine Lyons
• Kevin Newman Bey, LMT
• Lina Niauriene
• Giselle Nunez, M.S.
• Optimal Performance LLC

• Clinical Social Worker in Indian Head Park, IL
• Providers in Indian Head Park, 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 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.