MRS. LISA KUSUMPA (NPI# 1306487798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306487798 |
| Entity Type | Individual |
| Full Name | MRS. LISA KUSUMPA |
| Credential | MSW, LCSW |
| Practice Address |
204 S Harvard Ave Arlington Heights IL 60005-1646 |
| Mailing Address |
5017 W Berteau Ave Chicago IL 60641-1738 |
| Practice Telephone | 7734906486 |
| Mailing Telephone | 7734906486 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149010909 | IL | Behavioral Health & Social Service Providers |
| Street Address |
204 S HARVARD AVE |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023577814 | Thomas Malczyk | Social Worker | 645 S Mckinley Ave Apt B, Arlington Heights, IL 60005-2844 | 2019-03-19 |
| 1164987533 | Counseling Center of Arlington Heights, LLC | Social Worker | 3205 N Wilke Rd Ste 103c, Arlington Heights, IL 60004-0001 | 2019-02-09 |
| 1417495680 | Institute for The Cycles of Life LLC | Social Worker | 12 E Brookwood Dr, Arlington Heights, IL 60004-2512 | 2017-02-07 |
| 1336535764 | Northwest Suburban Counseling LLC | Social Worker | 1800 E Northwest Hwy Unit 4, Arlington Heights, IL 60004-6944 | 2015-04-13 |
| 1023328366 | Brigid M. Janiak | Social Worker | 1655 North Arlington Heights Road, Suite 304-e, Arlington Heights, IL 60004 | 2010-10-20 |
| 1578879433 | Marjorie Diaz Rodriguez | Social Worker | 3417 N Kennicott Ave Ste A, Arlington Heights, IL 60004-7824 | 2010-08-28 |
| 1144401332 | Marilyn Joanne Nadulek | Social Worker | 2016 N Kennicott Dr, Arlington Heights, IL 60004-2922 | 2007-11-16 |
| 1255520045 | Sharon Lee Ehrenreich | Social Worker | 615 E Hackberry Dr, Arlington Heights, IL 60004-1520 | 2007-10-17 |
| 1326168220 | Mary Ann Korbly Shepard | Social Worker | 366 W Miner St Apt 1a, Arlington Heights, IL 60005-1386 | 2007-04-02 |
| 1891813523 | Debra Dubin | Social Worker | 3255 N Arlington Heights Rd Ste 502, Arlington Heights, IL 60004-1586 | 2007-03-27 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on MRS. LISA KUSUMPA.
| 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.