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NPI Code Detail

MEDICARE: MARY LAWINGER LCSW

MEDICARE: MARY LAWINGER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker9734-123WI
21041C0700XClinical Social Worker149.021265IL

General Provider Information

NPI Number : 1467065110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY LAWINGER LCSW
Provider Business Mailing Address
First Line : 5910 CABLE AVE
Second Line :
City : MADISON
State : WI
Zip : 53705-4410
Country : US
Telephone Number : 563-513-8038
Fax Number :
Provider Business Practice Location Address
First Line : 180 N MICHIGAN AVE STE 1040
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7421
Country : US
Telephone Number : 563-513-8038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 02/16/2022

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Directions to “ MARY LAWINGER LCSW” Practice Location

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