Laura Kelly Wirtz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010888 Issued in IL

Practice address

3033 W Jefferson St
107
Joliet, IL 60435-5261

Phone

(815) 773-0772

Fax

(815) 773-0771

NPI assigned

Jan 23, 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

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.

• Summit Center for Mental Health Inc

  • Professional Counselor
  • Joliet, IL
  • NPI 1548274863

  Clinical

  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1922152248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST",
            "address_2": "107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355261",
            "telephone_number": "815-773-0772",
            "fax_number": "815-773-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST",
            "address_2": "107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355261",
            "telephone_number": "815-773-0772",
            "fax_number": "815-773-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTZ",
        "first_name": "LAURA",
        "middle_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Ridge Services, Inc
• Kylie Wilson
• Kristy Wingerter, FNP
• Brian James Winkleman, M.D.
• Valerie Winterfeldt, LCSW
• Michael A. Withall, CRNA
• Lauren Wojtkowski, FNP-C
• Erin Dale Wold, LPC, NCC, PEL
• Margo M Wolf, DO
• Kevin M Woloszyn, PHARMD.

• Clinical Social Worker in Joliet, IL
• Providers in Joliet, 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 15, 2010; 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.