Organization Active NPI

Amy Schigelone PHD LCSW LLC

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1013377928
Registry record updated Mar 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016912 Issued in IL
Legal business name
AMY SCHIGELONE PHD LCSW LLC
Practice address
1100 Lake St
Suite 35
Oak Park, IL 60301-1015
Phone
(708) 934-4492
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2017

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

Authorized official

Name
Amy Schigelone, PHD LCSW
Title
President
Phone
(708) 934-4492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.016912 IL Primary

Addresses

Primary practice location

1100 Lake St
Suite 35
Oak Park, IL 60301-1015

Mailing address

1100 Lake St
LL35
Oak Park, IL 60301-1015
Phone (708) 934-4492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317000386 IL Part B Supplier - Clinic/Group Practice 2961708912 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490400000000",
    "number": "1013377928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST",
            "address_2": "LL35",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011015",
            "telephone_number": "708-934-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE ST",
            "address_2": "SUITE 35",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011015",
            "telephone_number": "708-934-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY SCHIGELONE PHD LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2017-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHIGELONE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-934-4492",
        "authorized_official_credential": "PHD LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.