Provider Demographics
NPI:1942289756
Name:DISCIPIO, LAURA JEAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:JEAN
Last Name:DISCIPIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E DIEHL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2389
Mailing Address - Country:US
Mailing Address - Phone:630-577-1577
Mailing Address - Fax:630-606-9863
Practice Address - Street 1:800 E DIEHL RD STE 100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2389
Practice Address - Country:US
Practice Address - Phone:630-577-1577
Practice Address - Fax:630-577-1555
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490096001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2232829OtherBLUE CROSS BLUE SHEILD
IL2232829OtherBLUE CROSS BLUE SHEILD