| Lisa Baron, Lcsw | |
|
1535 Lake Rd. 112 Northbrook Court Plaza Northbrook IL 60062 | |
| (847) 272-5329 | |
| (847) 272-5342 |
| Full Name | Lisa Baron, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1535 Lake Rd., Northbrook, Illinois |
| Authorized Official Name and Position | Lisa D. Baron (PRESIDENT - CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8472725329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Baron, Lcsw 1535 Lake Rd. 112 Northbrook Court Plaza Northbrook IL 60062 Ph: (847) 272-5329 | Lisa Baron, Lcsw 1535 Lake Rd. 112 Northbrook Court Plaza Northbrook IL 60062 Ph: (847) 272-5329 |
| NPI Number | 1487819389 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487819389 | NPI | - | NPPES |
| 4905012 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149003004 (Illinois) | Primary |
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