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LISA RACIAK LSW
NPI 1487006854
Social Worker in New Lenox, IL

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
2081 CALISTOGA DR, SUITE #2S, NEW LENOX, IL 60451(888) 736-3611 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Raciak Lsw NPPES

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

LISA RACIAK LSW (NPI 1487006854) is an individual social worker in New Lenox, Illinois, licensed in Illinois (150015479) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487006854
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLISA RACIAKCredential: LSW
Location Address2081 CALISTOGA DR, SUITE #2SNew Lenox, IL 60451-4831
Mailing Address917 W Washington Blvd, Suite 113Chicago, IL 60607-2203 · (888) 736-3611
Phone(888) 736-3611
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 8, 2016
✔ NPI 1487006854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150015479
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2081 CALISTOGA DR, New Lenox, IL 60451
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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

Lisa Raciak Lsw 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 ID3476086927
PECOS Enrollment IDI20241023001304
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 Raciak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockford Psychiatric Medical Services, S.C.
78 mi
Psychiatry
1639 N ALPINE RD STE 260
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rockford Psychiatric Medical Services Sc
  • 163 clinicians in this Medicare group
NPI 1821391442 (815) 395-1500

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

Other Providers at the Same Location NPPES 8

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

TECYA PETERSON LSW
Social Worker
2081 CALISTOGA DR, SUITE #2S
NEW LENOX, IL 60451
Will County (815) 418-6070
ARLENE ANGELA PADEN M.D.
Psychiatry & Neurology (Psychiatry)
2081 CALISTOGA DR, SUITE 2S
NEW LENOX, IL 60451
Will County (815) 418-6070
DR. JOHNNY LEE WILLIAMSON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2081 CALISTOGA DR, SUITE 2S
NEW LENOX, IL 60451
Will County (815) 418-6070
PAMELA DAVIS LPC
Counselor (Professional)
2081 CALISTOGA DR, SUITE #2S
NEW LENOX, IL 60451
Will County (815) 418-6070
ALYSSA FALLER LCSW
Social Worker (Clinical)
2081 CALISTOGA DR
NEW LENOX, IL 60451
Will County (815) 320-2410
DR. SARAH LOWE KELDER PSY.D.
Psychologist (Clinical)
2081 CALISTOGA DR
NEW LENOX, IL 60451
Will County (815) 418-6070
SAMANTHA TAYLOR PAGANA LPC
Counselor (Professional)
2081 CALISTOGA DR
NEW LENOX, IL 60451
Will County (815) 320-2410
KARYN HORAN LPC
Counselor (Professional)
2081 CALISTOGA DR
NEW LENOX, IL 60451
Will County (815) 418-6070

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 Raciak's NPI number?

The NPI number for Lisa Raciak is 1487006854. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Lisa Raciak located?

Lisa Raciak practices at 2081 Calistoga Dr Suite #2s, New Lenox, IL 60451. The listed phone number is (888) 736-3611.

What is Lisa Raciak's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Lisa Raciak enrolled in Medicare?

Yes. Lisa Raciak 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 Raciak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Raciak reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, 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 Raciak'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 Raciak was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.