| Lauren Raphael Lcsw Llc | |
|
707 Skokie Blvd Ste 622 Northbrook IL 60062-2857 | |
| (312) 953-1471 | |
| Not Available |
| Full Name | Lauren Raphael Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 707 Skokie Blvd Ste 622, Northbrook, Illinois |
| Authorized Official Name and Position | Lauren Raphael (LCSW/OWNER) |
| Authorized Official Contact | 3129531471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Raphael Lcsw Llc 622 Dunsten Cir Northbrook IL 60062-2613 Ph: (312) 953-1471 | Lauren Raphael Lcsw Llc 707 Skokie Blvd Ste 622 Northbrook IL 60062-2857 Ph: (312) 953-1471 |
| NPI Number | 1417418617 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 2264772649 |
|---|---|
| Medicare Enrollment ID | O20190321001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417418617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren B Raphael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467590752 PECOS PAC ID: 1951618040 Enrollment ID: I20160607002597 |
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