Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Doherty Lissuzzo, LCSW

Individual provider Clinical Social Worker · NPI 1699375592

Andrea Doherty Lissuzzo, LCSW is a Clinical Social Worker in River Forest, Illinois. Qualified in 2003, 23 years ago. Practices with Mosaic Counseling and Wellness LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

526 Keystone Ave
River Forest, IL 60305-1612
Phone: (708) 710-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.007467 (IL)

Record details

NPI number1699375592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mosaic Counseling And Wellness Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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