Karolina Lieponis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014281 Issued in IL

Practice address

333 N Stone Ave
La Grange Park, IL 60526-1818

Phone

(708) 705-3016

NPI assigned

Jun 16, 2020

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Meridian Psychiatric Partners, LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1982873766
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891310702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N STONE AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261818",
            "telephone_number": "708-705-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N STONE AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261818",
            "telephone_number": "708-705-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEPONIS",
        "first_name": "KAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATIONS",
            "identifier": "149014281",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pimsy",
            "affiliation": "Y",
            "endpointDescription": "EMR system",
            "affiliationName": "BLUE MOON SENIOR COUNSELING OF ILLINOIS LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10204 Bode St Ste B",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605859813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "software",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "BLUE MOON SENIOR COUNSELING OF ILLINOIS LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pimsy",
            "address_1": "10204 Bode St Ste B",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605859813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lagrange Dental Management
• Lagrange Family Care Center LTD
• Lagrange Park Dentistry PC
• Eden Louise Pappo Lake, M.D.
• David Li
• Glenn R Londos, O.D.
• Berenice Lopez, DDS
• Susan Lyons, R.N., I.B.C.L.C.
• Anna Mahay
• Ananya Malcha

• Clinical Social Worker in La Grange Park, IL
• Providers in La Grange 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 Nov 27, 2023; 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.