Sophia Shlain, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

201 E Strong St
Wheeling, IL 60090-2979

Phone

(224) 619-6982

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360 Degrees Wellness and Coaching LLCGroup PAC ID 8426288978, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 360 Degrees Wellness & Coaching LLC

  • Clinical Social Worker
  • Lake Forest, IL
  • NPI 1497176523
  Medicare reassignment Care Compare group NPD Authorized official
• Sophia Shlain, LCSW LTD.

  • Clinical Social Worker
  • Wheeling, IL
  • NPI 1710915632
  Authorized official Same address or phone
• Grand Oaks Behavioral Health LLC

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1124242359
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083838346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E STRONG ST",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902979",
            "telephone_number": "224-619-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E STRONG ST",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902979",
            "telephone_number": "224-619-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLAIN",
        "first_name": "SOPHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "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": []
}

• Andrea Serrano
• Phillip James Shaw, D.C.
• Ellen Sherwood
• Taiya Shevelev, DO
• Shama Shirazi, M.D.
• Signature Home Care, LLC
• Michelle Gail Simon, MS, OTR/L
• Paula Skowronski Adamiak, D.D.S.
• Erica Alexandra Slack, APRN, FNP-BC, CNL
• Smile Dental Design, LLC

• Clinical Social Worker in Wheeling, IL
• Providers in Wheeling, 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 Jul 8, 2007; 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.