Healthcare Provider Details

I. General information

NPI: 1720822281
Provider Name (Legal Business Name): LAUREN LEREW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 E HAWTHORN PKWY STE 235
VERNON HILLS IL
60061-1454
US

IV. Provider business mailing address

175 E HAWTHORN PKWY STE 235
VERNON HILLS IL
60061-1454
US

V. Phone/Fax

Practice location:
  • Phone: 630-428-7890
  • Fax:
Mailing address:
  • Phone: 630-428-7890
  • Fax: 630-428-7891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37696
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.031084
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149.031084
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: