Individual provider · Type 1 NPI

Lisa A. Rae

Clinical Social Worker · Oak Park, IL

NPI number 1346105111 Active

Practice location

703 Madison St
Oak Park, IL 60302-4837

Mailing address

5017 W Berteau Ave
Chicago, IL 60641-1738

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.030884 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1346105111

Lisa A. Rae's National Provider Identifier is 1346105111, issued on Dec 23, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Park, IL. The record was last updated on Dec 23, 2025.