Olivia Grace Landry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149027355 Issued in IL

Practice address

700 E 61St St Unit 377761
Chicago, IL 60637-5297

Phone

(847) 905-6250

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1891493516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 ARSENAL ST UNIT 1F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161913",
            "telephone_number": "318-272-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 61ST ST UNIT 377761",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375297",
            "telephone_number": "847-905-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 S May St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074964",
            "country_code": "US",
            "telephone_number": "318-272-1609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4316 Arsenal St Unit 1F",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631161913",
            "country_code": "US",
            "telephone_number": "847-905-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150109015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashly-Jourdyn Landry, NP
• Blythe Landry, LCSW, M.ED
• Jill Landry, PT
• Katie R Landry
• Kelly Marie Landry, MD
• Caitlin Fitzgerald Landstrom, APRN
• Jonathan Landstrom, DPT
• Dejan Landup, PHARMD
• Stephen Jonathan Landy, MD
• Felicia G Lane-Fincher, M.D.

• 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 Jan 7, 2025; 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.