Healthcare Provider Details

I. General information

NPI: 1720759764
Provider Name (Legal Business Name): APRIL MARIE LIPNITZKY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7124 WINDSOR LAKE PKWY STE 14B
LOVES PARK IL
61111-3802
US

IV. Provider business mailing address

6316 WALKER AVE
LOVES PARK IL
61111-4212
US

V. Phone/Fax

Practice location:
  • Phone: 815-315-7611
  • Fax:
Mailing address:
  • Phone: 815-315-7611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.031423
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: