MEDICARE: MR. LAWRENCE JAMES WESTENBERG LCSW, MSW, MSED

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	149.008012	IL

General Provider Information

NPI Number	:	1649696832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAWRENCE JAMES WESTENBERG LCSW, MSW, MSED

Provider Business Mailing Address
First Line	:	1225 S LORRAINE RD
Second Line	:	APT. 119
City	:	WHEATON
State	:	IL
Zip	:	60189-7064
Country	:	US
Telephone Number	:	630-663-8914
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 ROYAL SAINT GEORGE DR APT 210
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8907
Country	:	US
Telephone Number	:	630-663-8914
Fax Number	:

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

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	04/03/2025

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