LISA COBURN (NPI# 1861511719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861511719 |
| Entity Type | Individual |
| Full Name | LISA COBURN |
| Credential | LCSW |
| Practice Address |
501 Ella Ave Joliet IL 60433-2799 |
| Mailing Address |
421 Cornelia St Joliet IL 60435-6037 |
| Practice Telephone | 8157278521 |
| Mailing Telephone | 8157231092 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346462371 | Lisa Anne Sheldon Coburn | Dentist | 2430 Broadway St Ste 101, Boulder, CO 80304-4118 | 2007-05-02 |
| 1477764926 | Lisa Blair Coburn | Student in an Organized Health Care Education/Training Program | 4301 W Markham St, Slot # 783, Little Rock, AR 72205-7101 | 2007-05-25 |
| Street Address |
501 ELLA AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60433-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114758 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2006-07-30 |
| 1508391558 | Amanda Barrios | Counselor | 501 Ella Ave, Joliet, IL 60433-2799 | 2017-04-27 |
| 1730626995 | Darrick Melton | Counselor | 501 Ella Ave, Joliet, IL 60433-2799 | 2017-01-26 |
| 1326585092 | Nicholas Heimer | Counselor | 501 Ella Ave, Joliet, IL 60433-2799 | 2017-01-19 |
| 1609311695 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433-2799 | 2016-12-29 |
| 1689117368 | Clorissa Mcphail | Counselor | 501 Ella Ave, Joliet, IL 60433-2799 | 2016-11-29 |
| 1033509187 | Ruth Edith Gerhart | Social Worker | 501 Ella Ave, Joliet, IL 60433-2799 | 2015-01-28 |
| 1023416278 | Rita Gray II | Psychologist | 501 Ella Ave, Joliet, IL 60433-2799 | 2014-12-19 |
| 1093007205 | Kandice Cardona | Counselor | 501 Ella Ave, Joliet, IL 60433-2799 | 2011-05-05 |
| 1053603266 | Angela N Chastain | Counselor | 501 Ella Ave, Joliet, IL 60433-2799 | 2011-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710105978 | Aparna Gottumukkula | Dentist | 1106 Neal Avenue, Joliet, IL 60433 | 2007-04-23 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1447723275 | Aba Everyday LLC | Community/Behavioral Health | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2019-01-03 |
| 1245366483 | Morningstar Counseling | Counselor | 350 E Washington St, Joliet, IL 60433-1150 | 2007-02-24 |
| 1053911479 | Demitrius Brackett | Clinic/Center | 350 E Washington St, Joliet, IL 60433-1150 | 2020-10-26 |
| 1326541566 | Ready To Go LLC | Non-emergency Medical Transport (VAN) | 119 Logan Ave, Joliet, IL 60433-1262 | 2018-03-14 |
| 1215223755 | Kodo Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1522 E Washington St, Joliet, IL 60433-1365 | 2011-06-23 |
| 1710175864 | Brookelyn Anhalt | Speech-Language Pathologist | 2422 Erskine Rd, Joliet, IL 60433-1612 | 2007-10-12 |
| 1710406855 | Mary Margaret Ruettiger | Speech-Language Pathologist | 2500 Dougall Rd, Joliet, IL 60433-1655 | 2017-09-10 |
| 1619340031 | Patricia Ulloa-guzman | Interpreter | 506 Siegmund St, Joliet, IL 60433-1716 | 2015-11-06 |
| Find all providers in zip 60433 | ||||
| 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 |
|---|---|---|---|---|
| 1225685670 | Eileen Catherine Ollry | Social Worker | 818 Buell Ave, Joliet, IL 60435-6906 | 2019-08-21 |
| 1972075729 | Megan Gunier | Social Worker | 401 N Larkin Ave, Joliet, IL 60435-6606 | 2018-12-18 |
| 1972081867 | Valerie Winterfeldt | Social Worker | 517 N William St, Joliet, IL 60435-6049 | 2018-08-01 |
| 1861904955 | Patricia Hernandez | Social Worker | 402 Bellarmine Dr W, Joliet, IL 60436-1806 | 2017-10-30 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1053665406 | James Stanley Kubalewski | Social Worker | 2212 Mcdonough St, Joliet, IL 60436-1842 | 2012-11-07 |
| 1497006928 | Melissa Irene Brown | Social Worker | 1118 Nicholson St, Joliet, IL 60435-4227 | 2012-09-24 |
| 1164771390 | Melissa Anne Sullivan | Social Worker | 305 Timber Ridge Ct, Joliet, IL 60431-1703 | 2012-09-04 |
| 1609121771 | Melvin Herring | Social Worker | 1150 Essington Rd Ste 1, Joliet, IL 60435-8447 | 2012-07-16 |
| 1477852796 | Danellyn Janette Shannon | Social Worker | 1002 N 129th Infantry Dr, E, Joliet, IL 60435-3130 | 2011-03-25 |
| Find all providers in JOLIET | ||||
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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.