DAVID REED LYSAKOWSKI LCSW
NPI 1245816826
Social Worker - Clinical in Centreville, IL

Active since March 23, 2021
5900 BOND AVE, CENTREVILLE, IL 62207(619) 332-5302(618) 332-5285 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Reed Lysakowski Lcsw NPPES

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

DAVID REED LYSAKOWSKI LCSW (NPI 1245816826) is an individual clinical provider in Centreville, Illinois, licensed in Illinois (149009090) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1245816826
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID REED LYSAKOWSKICredential: LCSW
Location Address5900 BOND AVECentreville, IL 62207-2326
Mailing Address5900 Bond AveCentreville, IL 62207-2326 · (619) 332-5302 · Fax (618) 332-5285
Fax(618) 332-5285
Sole ProprietorNo
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1245816826 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 · 149009090
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.
5900 BOND AVE, Centreville, IL 62207

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.

Non-emergency Medical Transport (VAN)
5900 BOND AVE
CAHOKIA HEIGHTS, IL 62207
Radiology (Diagnostic Radiology)
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
Dietitian, Registered
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
Nurse Practitioner (Adult Health)
5900 BOND AVE
CENTREVILLE, IL 62207
Emergency Medicine
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
General Acute Care Hospital
5900 BOND AVE
CAHOKIA HEIGHTS, IL 62207
Dietitian, Registered
5900 BOND AVE
EAST SAINT LOUIS, IL 62207
Counselor (Professional)
5900 BOND AVE
CENTREVILLE, IL 62207

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 David Lysakowski's NPI number?

The NPI number for David Lysakowski is 1245816826. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is David Lysakowski located?

David Lysakowski practices at 5900 Bond Ave, Centreville, IL 62207. The listed phone number is (619) 332-5302.

What is David Lysakowski's specialty?

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

When was this NPI record last updated?

The NPPES record for David Lysakowski was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.