Brian Schultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021800 Issued in IL

Practice address

106 Center St
Grayslake, IL 60030-1533

Phone

(847) 549-2235

NPI assigned

Dec 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Center of Grayslake LTDGroup PAC ID 7214214378, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Longevity Therapy and Wellness of Grayslake LLC

  • Clinical Social Worker
  • Grayslake, IL
  • NPI 1124975776
  Medicare reassignment NPD Authorized official
• Counseling Center of Grayslake LTD.

  • Clinical Social Worker
  • Grayslake, IL
  • NPI 1194267385
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1013554575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301533",
            "telephone_number": "847-668-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301533",
            "telephone_number": "847-549-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Schaik, D.D.S.
• Justin William Schloer, LCPC
• Sandra Schmidt, RD
• Jean Schoening
• Thomas Schreiner, LCSW
• Jodie Lynn Schultz, D.C.
• Kelsey Schwab, LPC
• Patricia A Schweitzer, DDS
• Thomas G Schweitzer, D.D.S.
• Heather Scott, LPC

• Clinical Social Worker in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.