LIGHT ON ANXIETY (NPI# 1184267478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184267478 |
| Entity Type | Organization |
| Organization Name | LIGHT ON ANXIETY |
| Practice Address |
3330 Old Glenview Rd Ste 14 Wilmette IL 60091-2963 |
| Mailing Address |
100 Saunders Rd Ste 150 Lake Forest IL 60045-2526 |
| Practice Telephone | 3125083645 |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-19 |
| Authorized Official Name | DR. DEBRA KISSEN (CEO) |
| Authorized Official Telephone | 3125083645 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSED SOCIAL WORKER | 150.104002 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 844 Peter Ct, Indian Creek, IL 600613267 | 2246886327 |
| Street Address |
3330 OLD GLENVIEW RD STE 14 |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819556 | Shira Lichtenstein | Social Worker | 3330 Old Glenview Rd Ste 14, Wilmette, IL 60091-2963 | 2020-04-03 |
| 1801429055 | Jessica Lankford | Social Worker | 3330 Old Glenview Rd Ste 14, Wilmette, IL 60091-2963 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346652252 | Emily Zivin | Social Worker | 1214 Glendenning Rd, Wilmette, IL 60091-1547 | 2014-05-27 |
| 1134551948 | Naira Ejupovic | Social Worker | 825 Greenbay Rd, 200, Wilmette, IL 60091-2597 | 2013-08-02 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| 1972126316 | Alexandra Golub | Social Worker | 3330 Old Glenview Rd, Wilmette, IL 60091-2963 | 2020-05-20 |
| 1801429055 | Jessica Lankford | Social Worker | 3330 Old Glenview Rd Ste 14, Wilmette, IL 60091-2963 | 2020-02-17 |
| 1457981128 | Marguerite Mccurry | Social Worker | 825 Green Bay Rd Ste 200, Wilmette, IL 60091-2500 | 2020-01-22 |
| 1508406661 | Lauren Spehr | Social Worker | 825 Green Bay Rd Ste 200, Wilmette, IL 60091-2500 | 2020-01-07 |
| 1215310107 | Laura Markoya | Social Worker | 3330 Old Glenview Rd, Ste. 15, Wilmette, IL 60091-2963 | 2015-07-09 |
| 1285040733 | Sari Glazebrook | Social Worker | 3545 Lake Ave, Wilmette, IL 60091-1058 | 2014-07-05 |
| 1386076065 | Kelly Catherine Keane | Social Worker | 825 Green Bay Rd, Suite 200, Wilmette, IL 60091-2597 | 2013-08-05 |
| Find all providers in WILMETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.