Individual provider Active NPI

Janet N. Myers, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1043226624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
333 Commerce Dr
Suite 275
Crystal Lake, IL 60014-3539
Phone
(847) 263-1269
Fax
(847) 263-1310
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

333 Commerce Dr
Suite 275
Crystal Lake, IL 60014-3539

Mailing address

501 N Riverside Dr
Suite 208
Gurnee, IL 60031-5918
Phone (847) 263-1269

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
I20170316002441 IL Practitioner - Clinical Social Worker 3274818059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myers Counseling Group, LTDGroup PAC ID 4082916945, 2 clinicians

Practice addresses (Care Compare)

600 Dakota St
Suite E
Crystal Lake, IL 60012-3742
Phone 8153083368100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006118ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myers Counseling Group, LTD Clinical CurrentSince Mar 3, 2017 Accepting new patients
Myers Counseling Group Past Accepting new patients

Locations

600 Dakota St
Ste E
Crystal Lake, IL 60012
Phone (815) 308-3368

300 Memorial Dr
Ste 200
Crystal Lake, IL 60014
Phone (815) 308-3368

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043226624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N RIVERSIDE DR",
            "address_2": "SUITE 208",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315918",
            "telephone_number": "847-263-1269",
            "fax_number": "847-263-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COMMERCE DR",
            "address_2": "SUITE 275",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143539",
            "telephone_number": "847-263-1269",
            "fax_number": "847-263-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JANET",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.