Healthcare Provider Details

I. General information

NPI: 1225495484
Provider Name (Legal Business Name): HANNAH ELAINE LAMAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 W 47TH ST
CHICAGO IL
60609-4411
US

IV. Provider business mailing address

734 W 47TH ST
CHICAGO IL
60609-4411
US

V. Phone/Fax

Practice location:
  • Phone: 773-572-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149031933
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: