Healthcare Provider Details

I. General information

NPI: 1386430056
Provider Name (Legal Business Name): LUCY NEWBURN MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 N LINCOLN AVE
CHICAGO IL
60613-2417
US

IV. Provider business mailing address

3921 N LINCOLN AVE
CHICAGO IL
60613-2417
US

V. Phone/Fax

Practice location:
  • Phone: 312-380-5344
  • Fax: 312-277-0932
Mailing address:
  • Phone: 312-533-0707
  • Fax: 312-277-0932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: