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

Q: What is Laura Licea's NPI number?

The NPI number for Laura Licea is 1023142494. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Laura Licea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laura Licea was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 15, 2007

5359 W FULLERTON AVE, CHICAGO, IL 60639(708) 836-2785(773) 836-7381 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Laura A Licea Lcsw NPPES

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

LAURA A LICEA LCSW (NPI 1023142494) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1023142494

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLAURA A LICEACredential: LCSW

Location Address5359 W FULLERTON AVEChicago, IL 60639-1450

Mailing Address5359 W Fullerton AveChicago, IL 60639-1450 · (708) 836-2785 · Fax (773) 836-7381

Phone(708) 836-2785

Fax(773) 836-7381

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1023142494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

5359 W FULLERTON AVE, Chicago, IL 60639

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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.

KRISTEN MARIE MOSER M.D.

Family Medicine