LAURA A LICEA LCSW
NPI 1023142494
Social Worker - Clinical in Chicago, IL

NPI Status: Active since March 15, 2007

Contact Information

5359 W FULLERTON AVE
CHICAGO, IL
ZIP 60639
Phone: (708) 836-2785
Fax: (773) 836-7381

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  • Individual
  • Female
  • Social Worker
  • Clinical

About LAURA LICEA

This page provides the complete NPI Profile along with additional information for Laura Licea, a provider established in Chicago, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1023142494 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1023142494
Provider Name
LAURA A LICEA LCSW
Gender
Female
Entity Type
Individual
Location Address
5359 W FULLERTON AVE CHICAGO, IL 60639
Location Phone
(708) 836-2785
Location Fax
(773) 836-7381
Mailing Address
5359 W FULLERTON AVE CHICAGO, IL 60639
Mailing Phone
(708) 836-2785
Mailing Fax
(773) 836-7381
Is Sole Proprietor?
No
Enumeration Date
03-15-2007
Last Update Date
07-09-2007
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A clinical social worker like Laura Licea is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License State
IL
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023142494
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043244418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 4 + 4 + 4 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1023142494 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104838002DR. KESANET T GEBREKIDAN DDS
Individual
Dentist5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 637-7053
1760642466 MEGAN BIDGOLI MD
Individual
Family Medicine5359 W FULLERTON AVE PCC SALUD FAMILY HEALTH CENTER
CHICAGO, IL 60639
(773) 836-2785
1124254800 GLADYS ESTRADA M.D.
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(708) 763-2369
1043548480 COURTNEY CLASSEN SMITH-MATTHEWS
Individual
Dietitian, Registered5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1609248608 GINA ROGERS LCSW
Individual
Social Worker (Clinical)5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1386941243 HEATHER H. MORALES LCSW
Individual
Social Worker (Clinical)5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1659300408 NATASHA DIAZ MD
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1215187661MR. RICARDO AGUINAGA JR. LCSW
Individual
Social Worker (Clinical)5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1407083488 THOMAS OUYJUUNG KIM MD
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1811292717 JILL DEGEN
Individual
Nurse Practitioner (Psychiatric/Mental Health)5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1326334103DR. GITANJALI SIVASUBRAMANIAM M.D.
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1891340717 FELISA GUTIERREZ LCSW
Individual
Social Worker (Clinical)5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1295114668 ALEXANDER NEUMAN
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1467831867 ANASTASIA CRIHFIELD
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1720491467 MOSHINI SIVASUBRAMANIAM
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-7381
1578976205 LIZBETH RODRIGUEZ MD
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1003264177 KRISTEN MARIE MOSER M.D.
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1215196282 FINICIA C GRAHAM MD
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1508283722DR. JEFFREY ROSENBLATT D.O.
Individual
Family Medicine5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785
1811635600 RACHEL ELIZABETH SHEDD STRIETZEL
Individual
Advanced Practice Midwife5359 W FULLERTON AVE
CHICAGO, IL 60639
(773) 836-2785

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023142494, enumerated in the NPI registry as an "individual" on March 15, 2007

The provider is located at 5359 W Fullerton Ave Chicago, Il 60639 and the phone number is (708) 836-2785

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on March 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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