MEDICARE: CARLSON COUNSELING CONNECTION INC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558963561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLSON COUNSELING CONNECTION INC

Provider Business Mailing Address
First Line	:	3139 N LINCOLN AVE STE 227
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3173
Country	:	US
Telephone Number	:	630-310-6756
Fax Number	:

Provider Business Practice Location Address
First Line	:	3139 N LINCOLN AVE STE 227
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3173
Country	:	US
Telephone Number	:	630-310-6756
Fax Number	:

Authorized Official
Title or Position	:	CLINICIAN/OWNER
Name	:	LISA MARIE CARLSON
Credential	:	MSW, LCSW
Telephone Number	:	630-310-6756

Provider Enumeration Date	:	11/13/2020
Last Update Date	:	07/23/2025

Similar Medicare Providers

1326402454 — KATHERINE INFUSINO
Practice Location Address:

3139 N LINCOLN AVE STE 228
CHICAGO, IL
60657-3173

Practice Phone: 312-259-2665
Practice Fax:

1578869699 — BRIAN MATTHEW MCGANNON LCPC
Practice Location Address:

3139 N LINCOLN AVE STE 225
CHICAGO, IL
60657-3173

Practice Phone: 773-330-5702
Practice Fax:

1144603499 — POLINA BLINDERMAN LCSW
Practice Location Address:

3139 N LINCOLN AVE STE 226
CHICAGO, IL
60657-3173

Practice Phone: 847-917-4359
Practice Fax:

1629445200 — LISA CARLSON
Practice Location Address:

3139 N LINCOLN AVE STE 227
CHICAGO, IL
60657-3173

Practice Phone: 630-310-6756
Practice Fax:

1083187769 — DASI GINNIS AND ASSOCIATES, LLC
Practice Location Address:

3139 N LINCOLN AVE STE 228
CHICAGO, IL
60657-3173

Practice Phone: 773-243-9421
Practice Fax:

1992427728 — CARLLIE MEEKS
Practice Location Address:

3139 N LINCOLN AVE STE 227
CHICAGO, IL
60657-3173

Practice Phone: 402-598-5307
Practice Fax:

Directions to “CARLSON COUNSELING CONNECTION INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.