Robin Lake, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017363 Issued in IL

Practice address

3545 Lake Ave
Suite 200
Wilmette, IL 60091-1058

Phone

(847) 251-7350

NPI assigned

Feb 18, 2015

Sex

Female

Sole proprietor

Yes

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

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Service Center of Wilmette Glenview Northbrook KenilworthGroup PAC ID 9739085549, 8 clinicians

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.

• Family Service Center of Wilmette Glenview Northbrook Kenilworth

  • Marriage & Family Therapist
  • Northfield, IL
  • NPI 1750396289

  Clinical, IL

  Medicare reassignment Care Compare group NPD
• Journeycare, Inc

  • Community Based Hospice Care Agency
  • Barrington, IL
  • NPI 1154324994

  IL

  Medicare reassignment NPD
• Journeycare, Inc.

  • Community Based Hospice Care Agency
  • Barrington, IL
  • NPI 1821049933
  NPD

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1881085447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-251-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE",
            "address_2": "SUITE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-251-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ROBIN",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ellen Kruger, CPNP
• Paul Kuder, M.D.
• Ann Kulig, LMFT
• L & H International Orthodontics P.C.
• Lance Labno, P.T.
• Lakeview Diagnostics Inc
• Lakeview Diagnostics Inc.
• Julie Ann Lambert, LABOR, PP DOULA
• Anna Lane, M.S. CF-SLP
• Jessica Lankford, MA, LSW

• All providers in Wilmette, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.