Sammie Mayerck, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150113601 Issued in IL

Practice address

10605 Il Route 173
Hebron, IL 60034-9401

Phone

(123) 456-7899

NPI assigned

Jul 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bailey Behavioral Health, PLLC

  • Professional Counselor
  • Fox Lake, IL
  • NPI 1790258408
  NPD (past)
• Sheffer Psychological Services, PLLC

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1952809535
  NPD (past)

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1083450324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 IL ROUTE 173",
            "city": "HEBRON",
            "state": "IL",
            "postal_code": "600349401",
            "telephone_number": "608-632-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 IL ROUTE 173",
            "city": "HEBRON",
            "state": "IL",
            "postal_code": "600349401",
            "telephone_number": "123-456-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYERCK",
        "first_name": "SAMMIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150113601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alden Hebron School Dist 19
• Jeremy Gricar, RDN, LDN
• Hebron Alden Greenwood Fire Protection District
• Nina C. Hernandez, MSW, LSW
• John Raymond Kaminski, DDS
• Prairie Avenue Dental Associates, Inc.
• Renee Schultz-Dietz, DMD
• Veronique M Wolf, MS, LPC, CSAC

• Social Worker in Hebron, IL
• Providers in Hebron, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.