Active NPI
Megan Lestina, LCSW
- Clinical Social Worker
- La Grange, IL
National Provider Identifier
1942667530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016906
- Practice address
- 522 W Burlington Ave # 2W
La Grange, IL 60525-2200 - Phone
- (708) 247-5827
- Fax
- (708) 937-9131
- NPI assigned
- Jan 27, 2016
- Last updated
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.016906 | IL | Primary |
| School Social Worker | 1041S0200X | 149.016906 | IL |
Addresses
Primary practice location
522 W Burlington Ave # 2W
La Grange, IL 60525-2200
Mailing address
522 W Burlington Ave # 2W
La Grange, IL 60525-2200
Phone (708) 247-5827
Other practice location 1
6918 W Windsor Ave
Berwyn, IL 60402-3334
Phone (708) 795-4800
Other practice location 2
17 N Catherine Ave
LA Grange, IL 60525-5929
Phone (708) 247-5827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 27, 2024 through Dec 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016906 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1942667530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W BURLINGTON AVE # 2W",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252200",
"telephone_number": "708-247-5827",
"fax_number": "708-937-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W BURLINGTON AVE # 2W",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252200",
"telephone_number": "708-247-5827",
"fax_number": "708-937-9131"
}
],
"practiceLocations": [
{
"address_1": "6918 W Windsor Ave",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604023334",
"country_code": "US",
"telephone_number": "708-795-4800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 N Catherine Ave",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "IL",
"postal_code": "605255929",
"country_code": "US",
"telephone_number": "708-247-5827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESTINA",
"first_name": "MEGAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016906",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IL",
"license": "149.016906",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.