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

Lisa A Rae

Individual provider Clinical Social Worker · NPI 1346105111

Lisa A Rae is a Clinical Social Worker in Oak Park, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

703 Madison St
Oak Park, IL 60302-4837
Phone: (630) 865-1352
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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 149.030884 (IL)

Record details

NPI number1346105111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address5017 W Berteau Ave, Chicago, IL 60641-1738

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Oak Park