{
"Npi": {
"NPI": "1649696832",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WESTENBERG",
"FirstName": "LAWRENCE",
"MiddleName": "JAMES",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "LCSW, MSW, MSED",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WESTENBERG",
"OtherFirstName": "LARRY",
"OtherMiddleName": "JAMES",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1225 S LORRAINE RD",
"SecondLineMailingAddress": "APT. 119",
"MailingAddressCityName": "WHEATON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60189-7064",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-663-8914",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "777 ROYAL SAINT GEORGE DR APT 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NAPERVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60563-8907",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-663-8914",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/11/2014",
"LastUpdateDate": "04/03/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "149.008012",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}