1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Social Worker
  6. NPI Profile

MS. LISA RAUBOLT
NPI 1003242124
Social Worker - Clinical in Chicago, IL

Active since September 20, 2013PECOS EnrolledAccepts Medicare Assignment
676 N SAINT CLAIR ST, CHICAGO, IL 60611(312) 926-4512 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Lisa Raubolt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA RAUBOLT (NPI 1003242124) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149015331) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1003242124
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA RAUBOLT
Location Address676 N SAINT CLAIR STChicago, IL 60611-2927
Mailing Address676 N Saint Clair StChicago, IL 60611-2927 · (312) 926-4512
Phone(312) 926-4512
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 20, 2013
Last NPPES UpdateFebruary 2, 2015
✔ NPI 1003242124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149015331
Definition
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.
676 N SAINT CLAIR ST, Chicago, IL 60611
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Raubolt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820435340
PECOS Enrollment IDI20240320000943
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Raubolt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
32 mi
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
NPI 1295914646 (630) 428-7890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNA L ROTH MD
Internal Medicine
676 N SAINT CLAIR ST, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000
ANKIT BHARAT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
676 N SAINT CLAIR ST, SUITE 650
CHICAGO, IL 60611
Cook County (312) 926-7628
JOAQUIN CARLOS BRIEVA MD
Dermatology
676 N SAINT CLAIR ST, SUITE 1600
CHICAGO, IL 60611
Cook County (312) 695-8106
JOHN M SHAW MD
Internal Medicine (Medical Oncology)
676 N SAINT CLAIR ST, STE 2140
CHICAGO, IL 60611
Cook County (312) 664-5400
MELVIN J GOLDSTEIN, M.D.,S.C.
Internal Medicine (Gastroenterology)
676 N SAINT CLAIR ST, SUITE 1525
CHICAGO, IL 60611
Cook County (312) 337-1556
DR. HOWARD M. AROF M.D.
Obstetrics & Gynecology
676 N SAINT CLAIR ST, #1880
CHICAGO, IL 60611
Cook County (312) 642-9844
DR. MARIA MATSANGOU M.D.
Internal Medicine (Hematology & Oncology)
676 N SAINT CLAIR ST, SUITE 850
CHICAGO, IL 60611
Cook County (312) 695-6182
LAUREN M KNISLEY NP
Nurse Practitioner (Family)
676 N SAINT CLAIR ST, SUITE #850
CHICAGO, IL 60611
Cook County (312) 695-0990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Raubolt's NPI number?

The NPI number for Lisa Raubolt is 1003242124. It was assigned to this individual provider in the NPPES registry on September 20, 2013.

Where is Lisa Raubolt located?

Lisa Raubolt practices at 676 N Saint Clair St, Chicago, IL 60611. The listed phone number is (312) 926-4512.

What is Lisa Raubolt's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Raubolt enrolled in Medicare?

Yes. Lisa Raubolt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Raubolt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Raubolt reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Raubolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Raubolt was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.