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ANDREA DOHERTY LISSUZZO LCSW
NPI 1699375592
Social Worker - Clinical in River Forest, IL

Active since October 29, 2020PECOS EnrolledAccepts Medicare Assignment
526 KEYSTONE AVE, RIVER FOREST, IL 60305(708) 710-2650 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Andrea Doherty Lissuzzo Lcsw NPPES

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

ANDREA DOHERTY LISSUZZO LCSW (NPI 1699375592) is an individual clinical provider in River Forest, Illinois, licensed in Illinois (149.007467) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1699375592
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA DOHERTY LISSUZZOCredential: LCSW
Location Address526 KEYSTONE AVERiver Forest, IL 60305-1612
Mailing Address526 Keystone AveRiver Forest, IL 60305-1612 · (708) 710-2650
Phone(708) 710-2650
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 29, 2020
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1699375592 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 · 149.007467
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.
526 KEYSTONE AVE, River Forest, IL 60305
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Other Names 1

Other Name (5)Andrea Doherty Lissuzzo Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Doherty Lissuzzo Lcsw 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 ID9133534688
PECOS Enrollment IDI20230519001186
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 60305 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.

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 Andrea Lissuzzo's NPI number?

The NPI number for Andrea Lissuzzo is 1699375592. It was assigned to this individual provider in the NPPES registry on October 29, 2020. The provider is also known as Andrea Doherty Lissuzzo Lcsw.

Where is Andrea Lissuzzo located?

Andrea Lissuzzo practices at 526 Keystone Ave, River Forest, IL 60305. The listed phone number is (708) 710-2650.

What is Andrea Lissuzzo's specialty?

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

Is Andrea Lissuzzo enrolled in Medicare?

Yes. Andrea Lissuzzo 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.

What insurance does Andrea Lissuzzo accept?

Health plans from CareSource list Andrea Lissuzzo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Lissuzzo was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.