Individual provider Active NPI

Lawrence Owusu Fianko

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1932924701
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149028081 Issued in IL
Practice address
119 S Western Ave Unit 1
Chicago, IL 60612-4644
Phone
(812) 994-0902
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149028081 IL Primary

Addresses

Primary practice location

119 S Western Ave Unit 1
Chicago, IL 60612-4644

Mailing address

119 S Western Ave Unit 1
Chicago, IL 60612-4644

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250204002928 IL Practitioner - Clinical Social Worker 6305376484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Limelight Recovery LLC Clinical CurrentSince Dec 11, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1932924701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "812-994-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIANKO",
        "first_name": "LAWRENCE",
        "middle_name": "OWUSU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149028081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.