MEDICARE: LAUREN TOCKEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149021463	IL

General Provider Information

NPI Number	:	1154802726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN TOCKEY LCSW

Provider Business Mailing Address
First Line	:	1290 MITCHELL ST
Second Line	:
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-3642
Country	:	US
Telephone Number	:	815-600-0317
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 W DEVON AVE STE 204
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4537
Country	:	US
Telephone Number	:	815-575-8860
Fax Number	:	815-668-8955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	01/17/2023

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Directions to “ LAUREN TOCKEY LCSW” Practice Location

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