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ALEXIS MCGOUGH LSW NPI 1083199186


NPI Information

NPI: 1083199186
Provider Name: ALEXIS MCGOUGH, LSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
900 N SHORE DR STE 205
LAKE BLUFF, IL
ZIP 60044
Phone: (847) 730-3042
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Alexis Mcgough, LSW is a social worker in Lake Bluff, IL. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Alexis Mcgough, LSW NPI is 1083199186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 N SHORE DR STE 205
LAKE BLUFF, IL
ZIP 60044-253
Phone: (847) 730-3042
Fax: (847) 730-3382

The enumeration date for this NPI number is 9/25/2018 and was last updated on 11/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerS.1800534-TRNEOHIONo
2104100000XSocial WorkerS.1803056OHIONo
3104100000XSocial Worker150.109325ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083199186MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.