Individual
ALEXIS DESARAE LAPORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
89 CEDAR AVE, LAKE VILLA, IL 60046-8411
(847) 265-7300
(847) 265-7300
Mailing address
PO BOX 764, LAKE VILLA, IL 60046-0764
(847) 377-8296
(847) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
01/27/2026
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