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

Todd Lazar

Individual provider Clinical Social Worker · NPI 1639664873

Todd Lazar is a Clinical Social Worker in Chicago, Illinois. Qualified in 2012, 14 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
14
In the registry since
2018

Practice location Address checks out

2858 W Diversey Ave
Chicago, IL 60647-1871
Phone: (312) 925-6366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 E Main St, East Dundee, IL 60118-1529 — (872) 242-7540

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149018280

Record details

NPI number1639664873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2018
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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