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

Michael R Bourbon, LCSW

Individual provider Clinical Social Worker · NPI 1316012537

Michael R Bourbon, LCSW is a Clinical Social Worker in Vernon Hills, Illinois. Qualified in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
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

977 Lakeview Pkwy # 155
Vernon Hills, IL 60061-1400
Phone: (847) 918-0129
Fax: (847) 918-0747
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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 149007084 (IL)

Record details

NPI number1316012537
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 8, 2007
Mailing address977 Lakeview Pkwy, 155, Vernon Hills, IL 60061-1400

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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