Individual provider Active NPI

Lynn Wachtel Shapiro, MSW

  • Addiction (Substance Use Disorder) Counselor
  • Tinley Park, IL
National Provider Identifier
1003998204
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16606 Issued in IL
Practice address
17732 Oak Park Ave
Tinley Park, IL 60477
Phone
(708) 342-1773
Fax
(708) 342-1780
NPI assigned
Oct 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16606 IL Primary
Clinical Social Worker 1041C0700X IL

Addresses

Primary practice location

17732 Oak Park Ave
Tinley Park, IL 60477

Mailing address

17732 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 342-1773

Other names 1

  • Lynn Wachtel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000517 IL Practitioner - Clinical Social Worker 3779767579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Counseling Services LTDGroup PAC ID 9830386911, 2 clinicians

Practice addresses (Care Compare)

17732 Oak Park Ave
Suite 1
Tinley Park, IL 60477-3934
Phone (708) 342-1773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16606ILMDAddiction (Substance Use Disorder) Counselor
149007196ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Services LTD CurrentSince Jan 9, 2011 Accepting new patients

Locations

17732 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 342-1773

17732 Oak Park Ave
Ste 1
Tinley Park, IL 60477
Phone (708) 342-1773

17732 Oak Park Ave
Ste Ab
Tinley Park, IL 60477
Phone (708) 342-1773

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003998204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-342-1773",
            "fax_number": "708-342-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-342-1773",
            "fax_number": "708-342-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL SHAPIRO",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "16606",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "WACHTEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.