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

Lisa Carlson

Individual provider Clinical Social Worker · NPI 1629445200

Lisa Carlson is a Clinical Social Worker in Chicago, Illinois. Qualified in 2003, 23 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

3139 N Lincoln Ave Ste 227
Chicago, IL 60657-3173
Phone: (630) 310-6756
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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 149017850 (IL)

Record details

NPI number1629445200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2015
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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