MR. LAWRENCE MICHAEL WIECZOREK (NPI# 1598864035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598864035 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE MICHAEL WIECZOREK |
| Credential | LCSW |
| Practice Address |
901 Burlington Ave Suite 3 Western Springs IL 60558-1575 |
| Practice Telephone | 6309692810 |
| Practice Fax Number | 6309692810 |
| Mailing Telephone | 6309692810 |
| Mailing Fax Number | 6309692810 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 04971454 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 02273040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881650257 | Lawrence Wayne Wieczorek | Nurse Anesthetist, Certified Registered | 32 Post Oak Ln, Jacksons Gap, AL 36861-2545 | 2006-04-25 |
| Street Address |
901 BURLINGTON AVE SUITE 3 |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942324736 | Lin Bresnahan | Social Worker | 901 Burlington Ave, Western Springs, IL 60558-1575 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1144609686 | Carolyn Bonistalli | Social Worker | 4806 Fair Elms Ave, Western Springs, IL 60558-1709 | 2015-05-28 |
| 1407131139 | Tracey A Olson | Social Worker | 4053 Woodland Ave, Western Springs, IL 60558-1123 | 2011-10-13 |
| 1184919953 | Julie Fallon | Social Worker | 4839 Wolf Rd, Western Springs, IL 60558-1736 | 2011-06-09 |
| 1669510129 | Juliet Karen Price | Social Worker | 5009 Commonwealth Ave, Western Springs, IL 60558-1275 | 2007-02-04 |
| 1497836688 | Patricia Joyce Black | Social Worker | 1023 Burlington, Western Springs, IL 60558 | 2006-10-17 |
| 1649367012 | Kari Gough | Social Worker | 3821 Grand Ave, Western Springs, IL 60558-1132 | 2006-10-06 |
| 1306489422 | Julie Hadler | Social Worker | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-21 |
| 1477103653 | Gabriella Stone | Social Worker | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-09-18 |
| 1659756963 | Rose B. Anderson | Social Worker | 1023 Burlington Ave, Western Springs, IL 60558 | 2015-07-28 |
| Find all providers in WESTERN SPRINGS | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.