Healthcare Provider Details

I. General information

NPI: 1518870674
Provider Name (Legal Business Name): DANI LALIBERTE LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4897 N HERMITAGE AVE APT 3
CHICAGO IL
60640-4170
US

IV. Provider business mailing address

4897 N HERMITAGE AVE APT 3
CHICAGO IL
60640-4170
US

V. Phone/Fax

Practice location:
  • Phone: 312-802-5538
  • Fax:
Mailing address:
  • Phone: 312-802-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANI LALIBERTE
Title or Position: OWNER
Credential: LCSW
Phone: 312-802-5538