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LISA CARLSON
NPI 1629445200
Social Worker - Clinical in Chicago, IL

Active since August 30, 2015PECOS Enrolled
3139 N LINCOLN AVE STE 227, CHICAGO, IL 60657(630) 310-6756 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Carlson NPPES

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

LISA CARLSON (NPI 1629445200) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149017850) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629445200
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA CARLSON
Location Address3139 N LINCOLN AVE STE 227Chicago, IL 60657-3173
Mailing Address3139 N Lincoln Ave Ste 227Chicago, IL 60657-3173 · (630) 310-6756
Phone(630) 310-6756
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 30, 2015
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1629445200 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 · 149017850
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.
3139 N LINCOLN AVE STE 227, Chicago, IL 60657
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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 Carlson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527313832
PECOS Enrollment IDI20180608001404
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 60657 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 2

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

CARLSON COUNSELING CONNECTION INC
Social Worker (Clinical)
3139 N LINCOLN AVE STE 227
CHICAGO, IL 60657
Cook County (630) 310-6756
CARLLIE MEEKS
Social Worker
3139 N LINCOLN AVE STE 227
CHICAGO, IL 60657
Cook County (402) 598-5307

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 Carlson's NPI number?

The NPI number for Lisa Carlson is 1629445200. It was assigned to this individual provider in the NPPES registry on August 30, 2015.

Where is Lisa Carlson located?

Lisa Carlson practices at 3139 N Lincoln Ave Ste 227, Chicago, IL 60657. The listed phone number is (630) 310-6756.

What is Lisa Carlson's specialty?

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

Is Lisa Carlson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Carlson was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.