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LISA KOFFLER LCSW
NPI 1184220774
Social Worker - Clinical in Roselle, IL

Active since December 08, 2020PECOS Enrolled
975 E NERGE RD STE S100, ROSELLE, IL 60172(847) 545-0630 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 27, 2023, Nov 18, 2021, Dec 8, 2020 (3 updates tracked since 2020).

About Lisa Koffler Lcsw NPPES

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

LISA KOFFLER LCSW (NPI 1184220774) is an individual clinical provider in Roselle, Illinois, licensed in Illinois (149.022486) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184220774
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA KOFFLERCredential: LCSW
Location Address975 E NERGE RD STE S100Roselle, IL 60172-4828
Mailing Address853 Voyager DrBartlett, IL 60103-4738 · (859) 630-7892
Phone(847) 545-0630
Sole ProprietorYes
Enumeration DateDecember 8, 2020
Last NPPES UpdateMarch 27, 20233 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1184220774 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 · 149.022486
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.
975 E NERGE RD STE S100, Roselle, IL 60172
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Other Names 1

Former Name (1)Lisa Mercado Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Koffler Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60172 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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 Koffler's NPI number?

The NPI number for Lisa Koffler is 1184220774. It was assigned to this individual provider in the NPPES registry on December 8, 2020. The provider is also known as Lisa Mercado Lcsw.

Where is Lisa Koffler located?

Lisa Koffler practices at 975 E Nerge Rd Ste S100, Roselle, IL 60172. The listed phone number is (847) 545-0630.

What is Lisa Koffler's specialty?

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

Is Lisa Koffler enrolled in Medicare?

Yes. Lisa Koffler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Koffler was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.