Individual provider Active NPI

Megan Lestina, LCSW

  • Clinical Social Worker
  • La Grange, IL
National Provider Identifier
1942667530
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016906 Issued in IL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
149.016906ILMDClinical 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

Verify at the official NPI Registry.