Sherry Sue Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.003637 Issued in IL

Practice address

977 Lakeview Pkwy Ste 102
Vernon Hills, IL 60061-1444

Phone

(847) 732-4510

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

Yes

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, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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.

• Serenity Counseling PLLC

  • Counselor
  • Vernon Hills, IL
  • NPI 1336720846
  Medicare reassignment NPD
• Joan I Wood, LLC

  • Psychologist
  • Arlington Heights, IL
  • NPI 1245687086
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1043633134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 WILSHIRE CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898004",
            "telephone_number": "847-732-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY STE 102",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611444",
            "telephone_number": "847-732-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERRY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.003637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Slutzky, LCPC
• Smart Choice MRI, LLC
• Smart Town Inc
• Smart Town Inc
• Smart Town Inc
• Toby Susan Smithson, RD, LDN, CDE
• Snap Diagnostics, LLC
• Nicole Snow, CCC-SLP
• Karrie Ann Sobotta, RN
• Soft Landing Interventions, LLC

• Clinical Social Worker in Vernon Hills, IL
• Providers in Vernon Hills, 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 Apr 16, 2021; 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.