Provider Demographics
NPI:1649696832
Name:WESTENBERG, LAWRENCE JAMES (LCSW, MSW, MSED)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JAMES
Last Name:WESTENBERG
Suffix:
Gender:
Credentials:LCSW, MSW, MSED
Other - Prefix:
Other - First Name:LARRY
Other - Middle Name:JAMES
Other - Last Name:WESTENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1225 S LORRAINE RD
Mailing Address - Street 2:APT. 119
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-7064
Mailing Address - Country:US
Mailing Address - Phone:630-663-8914
Mailing Address - Fax:
Practice Address - Street 1:777 ROYAL SAINT GEORGE DR APT 210
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8907
Practice Address - Country:US
Practice Address - Phone:630-663-8914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-11
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0080121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical