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

Laureen Michele Brotan, LCSW

Individual provider Clinical Social Worker · NPI 1548086077

Laureen Michele Brotan, LCSW is a Clinical Social Worker in Village of Lakewood, Illinois. Qualified in 1989, 37 years ago. Practices with Blue Moon Senior Counseling of Illinois LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2024
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

8425 Owl Ct
Village of Lakewood, IL 60014-3323
Phone: (847) 707-7220
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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 1490.15470 (IL)

Record details

NPI number1548086077
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 30, 2024
Last updated in NPPESNovember 30, 2024
Certification dateNovember 30, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Blue Moon Senior Counseling Of Illinois Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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